Individual provider Active NPI

Laura J. Hulsebus, D.C.

  • Chiropractor
  • St Peter, MN
National Provider Identifier
1851579700
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5057 Issued in MN
Practice address
206 West Walnut St
St Peter, MN 56082
Phone
(507) 934-2400
NPI assigned
Feb 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5057 MN Primary

Addresses

Primary practice location

206 West Walnut St
St Peter, MN 56082

Mailing address

206 West Walnut St
St Peter, MN 56082
Phone (507) 934-2400

Other identifiers 1

IdentifierTypeStateIssuer
36M71HUOtherMNBLUE CROSS OF MINNESOTA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080507000121 MN Practitioner - Chiropractic 6800975517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura J. Hulsebus P.a.Group PAC ID 1355420068, 2 clinicians

Practice addresses (Care Compare)

206 W Walnut St
Saint Peter, MN 56082-1468

206 Walnut St
Saint Peter, MN 56082-1468
Phone (507) 934-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura J. Hulsebus P.a. Chiropractor CurrentSince May 7, 2008 Accepting new patients

Locations

206 Walnut St
Saint Peter, MN 56082
Phone (507) 934-2400

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": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1851579700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WEST WALNUT ST",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-934-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WEST WALNUT ST",
            "city": "ST PETER",
            "state": "MN",
            "postal_code": "56082",
            "telephone_number": "507-934-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEBUS",
        "first_name": "LAURA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MINNESOTA",
            "identifier": "36M71HU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Peter, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.