Andrea Elizabeth Fetzek, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5619 Issued in MN

Practice address

15 8TH Ave N
Hopkins Health & Wellness
Hopkins, MN 55343

Phone

(952) 933-5085

NPI assigned

Jan 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Elizabeth Wahlin Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hopkins Health and Wellness Center PAGroup PAC ID 5496703829, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Hopkins Health and Wellness Center PA

  • Chiropractor
  • Hopkins, MN
  • NPI 1396932067
  Medicare reassignment Care Compare group NPD
• DMR Methods

  • Nurse Practitioner
  • Hopkins, MN
  • NPI 1720969785

  Chiropractor

  Medicare reassignment NPD
• Healthsource of Eden Prairie, PLLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1144523689
  NPD (past)
• Lelwica Chiropractic

  • Chiropractor
  • Pequot Lakes, MN
  • NPI 1780851030
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1730459512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "address_2": "HOPKINS HEALTH & WELLNESS",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "952-933-5085",
            "fax_number": "612-315-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "address_2": "HOPKINS HEALTH & WELLNESS",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "55343",
            "telephone_number": "952-933-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZEK",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WAHLIN",
            "middle_name": "ELIZABETH",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asmaa Ali Farah
• Ludfi Muhumad Farah
• Mohammad Feizizad, DDS
• Rhonda Fellows
• Ashley Ann Ferrara, MSN, APRN, CNP
• John Xavier Fikis, D.C
• Jill Fisher
• Kim E Fishman
• Emily Fjeldstad
• Four Season

• Chiropractor in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.