Individual provider Active NPI

Rachel Nelson, DC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1851995757
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1133 Issued in ND
Practice address
4501 15TH Ave S Ste 104
Fargo, ND 58103-8956
Phone
(701) 739-3845
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1133 ND Primary

Addresses

Primary practice location

4501 15TH Ave S Ste 104
Fargo, ND 58103-8956

Mailing address

1116 18TH St N
Moorhead, MN 56560-1848
Phone (701) 739-3845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202001880 ND Practitioner - Chiropractic 5193136703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4501 15TH Ave S
Suite 104
Fargo, ND 58103-8956
Phone (701) 532-0541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Arts Chiropractic, PC Chiropractor Current Accepting new patients
Healing Arts Chiropractic, PC Chiropractor CurrentSince Nov 25, 2020 Accepting new patients
RLN PLLC Chiropractor CurrentSince Mar 21, 2023 Accepting new patients
Chase Enget PLLC Chiropractor PastSince Mar 19, 2023 Accepting new patients

Locations

3240 15th St S
Ste C
Fargo, ND 58104
Phone (701) 451-9070

4501 15th Ave S
Ste 104
Fargo, ND 58103
Phone (701) 446-8833

709 Dakota Ave
Ste B
Wahpeton, ND 58075
Phone (701) 591-2727

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1851995757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 18TH ST N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601848",
            "telephone_number": "701-739-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 15TH AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038956",
            "telephone_number": "701-739-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RACHEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.