Active NPI
Laurie Ann Johnsrud, D.C.
- Chiropractor
- Fergus Falls, MN
National Provider Identifier
1669415113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4260
- Practice address
- 1515 W Lincoln Ave
Fergus Falls, MN 56537-1065 - Phone
- (218) 739-3216
- Fax
- (218) 739-2115
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4260 | MN | Primary |
Addresses
Primary practice location
1515 W Lincoln Ave
Fergus Falls, MN 56537-1065
Mailing address
1515 W Lincoln Ave
Fergus Falls, MN 56537-1065
Phone (218) 739-3216
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040708001 | Other | MN | PRIMEWEST |
| 060G1KO | Other | MN | BLUE CROSS BLUE SHIELD |
| 103100 | Other | MN | HEALTHPARTNERS |
| 108004100 | Medicaid | MN |
Other names 1
- Laurie Ann Kossan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1515 W Lincoln Ave
Fergus Falls, MN 56537-1065
Phone (218) 739-3216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LQCR, PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Fergus Falls, MN
- NPI 1972519528
-
- Chiropractor
- Alexandria, MN
- NPI 1972725729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739232000000",
"number": "1669415113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W LINCOLN AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371065",
"telephone_number": "218-739-3216",
"fax_number": "218-739-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W LINCOLN AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565371065",
"telephone_number": "218-739-3216",
"fax_number": "218-739-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSRUD",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2025-02-11",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "040708001",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "060G1KO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "103100",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108004100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURIE",
"last_name": "KOSSAN",
"middle_name": "ANN",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.