Individual provider Active NPI

Anndrea Kraisinger, DC

  • Chiropractor
  • Columbia Falls, MT
National Provider Identifier
1831898444
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4608 Issued in OK
Practice address
500 12TH Ave W
Columbia Falls, MT 59912-3844
Phone
(406) 862-2121
Fax
(406) 863-9301
NPI assigned
Mar 2, 2023
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHI-CHI-LIC-8028 MT
Chiropractor 111N00000X 4608 OK Primary

Addresses

Primary practice location

500 12TH Ave W
Columbia Falls, MT 59912-3844

Mailing address

924 NW 58TH St
Oklahoma City, OK 73118-5900
Phone (405) 459-0183

Other practice location 1

924 NW 58th St
Oklahoma City, OK 73118-5900
Phone (405) 459-0183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230000777 OK Practitioner - Chiropractic 4981079951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Young Life Chiropractic PLLCGroup PAC ID 9133467194, 3 clinicians

Practice addresses (Care Compare)

924 NW 58TH St
Oklahoma City, OK 73118-5915
Phone (405) 459-0183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4608OKMDClinical Social Worker
CHI-CHI-LIC-8028MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Young Life Chiropractic PLLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients

Locations

924 NW 58th St
Oklahoma City, OK 73118
Phone (405) 218-2500

924 NW 58th St
Ste 100
Oklahoma City, OK 73118

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": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1831898444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 NW 58TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185900",
            "telephone_number": "405-459-0183",
            "fax_number": "405-459-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 12TH AVE W",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123844",
            "telephone_number": "406-862-2121",
            "fax_number": "406-863-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 NW 58th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731185900",
            "country_code": "US",
            "telephone_number": "405-459-0183",
            "fax_number": "405-459-0183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAISINGER",
        "first_name": "ANNDREA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-8028",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.