Individual provider Active NPI

Kristi Jane Mettler, D.C.

  • Chiropractor
  • Spring Valley, MN
National Provider Identifier
1679671804
Registry record updated May 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2988 Issued in MN
Practice address
105 S Broadway St
Spring Valley, MN 55975-1227
Phone
(507) 346-1077
Fax
(507) 346-7117
NPI assigned
Sep 20, 2006
Last updated
May 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2988 MN Primary

Addresses

Primary practice location

105 S Broadway St
Spring Valley, MN 55975-1227

Mailing address

105 S Broadway St
Spring Valley, MN 55975-1227
Phone (507) 346-1077

Other identifiers 2

IdentifierTypeStateIssuer
587728800MedicaidMN
5C276CHOtherMNBCBS

Other names 1

  • Dr. Kristi Jane Chambers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060208000175 MN Practitioner - Chiropractic 1456366731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mettler Family Chiropractic PAGroup PAC ID 7911912290, 2 clinicians

Practice addresses (Care Compare)

105 S Broadway St
Spring Valley, MN 55975-1227
Phone (507) 346-1077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mettler Family Chiropractic PA Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

105 S Broadway St
Spring Valley, MN 55975
Phone (507) 346-1077

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337385600000",
    "number": "1679671804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BROADWAY ST",
            "city": "SPRING VALLEY",
            "state": "MN",
            "postal_code": "559751227",
            "telephone_number": "507-346-1077",
            "fax_number": "507-346-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BROADWAY ST",
            "city": "SPRING VALLEY",
            "state": "MN",
            "postal_code": "559751227",
            "telephone_number": "507-346-1077",
            "fax_number": "507-346-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTLER",
        "first_name": "KRISTI",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587728800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C276CH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "CHAMBERS",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.

Verify at the official NPI Registry.