Individual provider Active NPI

Genavieve Nicole Baklund, DC

  • Chiropractor
  • Blaine, MN
National Provider Identifier
1700736634
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7403 Issued in MN
Practice address
11901 Highway 65 NE
Blaine, MN 55434-3911
Phone
(763) 404-6244
Fax
(763) 404-6242
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7403 MN Primary

Addresses

Primary practice location

11901 Highway 65 NE
Blaine, MN 55434-3911

Mailing address

715 Birch Rd
Wyoming, MN 55092-9735
Phone (651) 434-0048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220003835 MN Practitioner - Chiropractic 1557842218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family First Chiropractic Center PCGroup PAC ID 4981743226, 2 clinicians

Practice addresses (Care Compare)

11901 Central Ave NE
Blaine, MN 55434-3911
Phone (763) 404-6244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Chiropractic Center PC Chiropractor CurrentSince Feb 1, 2026 Accepting new patients

Locations

11901 Highway 65 NE
Minneapolis, MN 55434
Phone (763) 404-6244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1700736634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BIRCH RD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550929735",
            "telephone_number": "651-434-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 HIGHWAY 65 NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343911",
            "telephone_number": "763-404-6244",
            "fax_number": "763-404-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKLUND",
        "first_name": "GENAVIEVE",
        "middle_name": "NICOLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.