Mikala Bocan, DC, MS, ATC, CCSP

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

7060 Issued in MN

Practice address

804 Freeport Ave NW Ste a
Elk River, MN 55330-2447

Phone

(763) 441-3830

Fax

(763) 441-4224

NPI assigned

Feb 8, 2017

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Power Within Chiropractic of Elk RiverGroup PAC ID 3779474085, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Power Within Chiropractic of Elk River

  • Chiropractor
  • Elk River, MN
  • NPI 1083882740
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1871031096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 FREEPORT AVE NW STE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302447",
            "telephone_number": "763-441-3830",
            "fax_number": "763-441-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 FREEPORT AVE NW STE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302447",
            "telephone_number": "763-441-3830",
            "fax_number": "763-441-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21887 SW Sherwood Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "OR",
            "postal_code": "971409412",
            "country_code": "US",
            "telephone_number": "503-625-0500",
            "fax_number": "503-625-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCAN",
        "first_name": "MIKALA",
        "name_prefix": "Dr.",
        "credential": "DC, MS, ATC, CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "6191",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "7060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Kay Bone, CTRS
• Lauren Bonneau, BCBA

• Sports Physician Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Sports Physician Chiropractor in Minnesota

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