Kelly Nesvold, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4014MN Issued in MN

Practice address

300 West Oakland Ave
Austin, MN 55912

Phone

(507) 437-7781

Fax

(507) 437-2937

NPI assigned

Mar 8, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wellness 1St of Austin Inc

  • Chiropractor
  • Austin, MN
  • NPI 1528255973
  Medicare reassignment Authorized official
• Schmitt Family Dentistry LLC

  • Dentist
  • Austin, MN
  • NPI 1255523445
  NPD (past)
• Wellness 1St Chiropractic LTD

  • Chiropractor
  • Gaylord, MN
  • NPI 1346437795
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861523037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WEST OAKLAND AVE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-437-7781",
            "fax_number": "507-437-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST OAKLAND AVE",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "55912",
            "telephone_number": "507-437-7781",
            "fax_number": "507-437-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESVOLD",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4014MN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "906S3WE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC ID",
            "identifier": "P00236504",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Taft Nelsen, M.D.
• Nelson Family Dental, PLLC
• Diana L Nelson, PA
• Sean K. Nelson, D.D.S.
• Keri Leigh Nestler, SLP
• Kjersten Nett, RD, LD
• Matthew Neumann, PHARMD, RPH
• New Med LLC (QuickCare)
• Alexander Nguyen, DDS
• Susan Catherine Nicolai

• Chiropractor in Austin, MN
• Providers in Austin, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.