Active NPI
Cheryl J Carlson, D.C
- Chiropractor
- Sartell, MN
National Provider Identifier
1790713774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3493
- Practice address
- 2177 Troop Dr
Sartell, MN 56377-4563 - Phone
- (320) 257-8266
- Fax
- (320) 257-7407
- NPI assigned
- Jun 29, 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 | 3493 | MN | Primary |
Addresses
Primary practice location
2177 Troop Dr
Sartell, MN 56377-4563
Mailing address
2177 Troop Dr
Sartell, MN 56377-4563
Phone (320) 257-8266
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5711799700 | Other | MN | MEDICAL ASSISTANCE |
| 232015 | Other | MN | ACN |
| 05D21CA | Other | MN | BLUE CROSS BLUE SHIELD |
| 640 | Other | MN | HSM |
Other names 1
- Ms. Cheryl J Wilson
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2177 Troop Dr
Sartell, MN 56377-4563
Phone (320) 257-8266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheri Carlson Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Hjort Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
| SMS Health Services, PA | Chiropractor | Past | Accepting new patients |
| Hjort Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
Locations
2177 Troop Dr
Sartell, MN 56377
Phone (320) 257-8266
Organizations & group practices 4
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
- Sartell, MN
- NPI 1821244237
-
- Chiropractor
- Saint Cloud, MN
- NPI 1104376169
-
- Chiropractor
- Saint Cloud, MN
- NPI 1467516088
-
- Chiropractor
- Sartell, MN
- NPI 1518903533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1790713774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 TROOP DR",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774563",
"telephone_number": "320-257-8266",
"fax_number": "320-257-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2177 TROOP DR",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774563",
"telephone_number": "320-257-8266",
"fax_number": "320-257-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "CHERYL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3493",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "5711799700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "232015",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05D21CA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HSM",
"identifier": "640",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "WILSON",
"middle_name": "J",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.