Individual provider Active NPI

Kasey Marie Payne, D.C.

  • Chiropractor
  • La Crescent, MN
National Provider Identifier
1780005116
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5865 Issued in MN
Practice address
306 Main St
Ste 101
La Crescent, MN 55947-1828
Phone
(507) 895-8100
Fax
(608) 268-9710
NPI assigned
Jan 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5865 MN Primary
Chiropractor 111N00000X 5008 WI

Addresses

Primary practice location

306 Main St
Ste 101
La Crescent, MN 55947-1828

Mailing address

306 Main St Ste 101
La Crescent, MN 55947-1828
Phone (507) 895-8100

Other practice location 1

648 2nd Ave N
Onalaska, WI 54650-2508
Phone (608) 519-8080

Other practice location 2

306 Main St
Suite 1
LA Crescent, MN 55947-1828
Phone (507) 895-2358

Other practice location 3

648 2nd Ave N
Onalaska, WI 54650-2508
Phone (608) 519-8080

Other names 1

  • Kasey Marie Heichel Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224000030 MN Practitioner - Chiropractic 0648400465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

306 Main St
Suite 1
La Crescent, MN 55947-1828
Phone (507) 895-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5865MNMDPhysical Therapist
5008WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Family Chiropractic, LLC Chiropractor CurrentSince Nov 17, 2017 Accepting new patients
Leo J Bronston Chiropractor Past Accepting new patients

Locations

306 Main St
Ste 1
La Crescent, MN 55947
Phone (507) 895-6015

306 Main St
Ste 101
La Crescent, MN 55947
Phone (507) 895-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780005116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN ST STE 101",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471828",
            "telephone_number": "507-895-8100",
            "fax_number": "608-268-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST",
            "address_2": "STE 101",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471828",
            "telephone_number": "507-895-8100",
            "fax_number": "608-268-9710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "648 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546502508",
            "country_code": "US",
            "telephone_number": "608-519-8080",
            "fax_number": "608-518-3067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Main St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "LA Crescent",
            "state": "MN",
            "postal_code": "559471828",
            "country_code": "US",
            "telephone_number": "507-895-2358",
            "fax_number": "507-895-2469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546502508",
            "country_code": "US",
            "telephone_number": "608-519-8080",
            "fax_number": "608-518-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KASEY",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5865",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "HEICHEL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Crescent, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.