Individual provider Active NPI

Debra Jean Proechel, D.C.

  • Nutrition Chiropractor
  • Freeport, MN
National Provider Identifier
1952347486
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
2403 Issued in MN
Practice address
103 3Rd Ave NE
Freeport, MN 56331-9017
Phone
(320) 836-7150
Fax
(320) 836-7162
NPI assigned
Jun 22, 2006
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 2403 MN Primary

Addresses

Primary practice location

103 3Rd Ave NE
Freeport, MN 56331-9017

Mailing address

103 3Rd Ave NE
P.O. Box 309
Freeport, MN 56331-9017
Phone (320) 836-7150

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000390 MN Practitioner - Chiropractic 7618995572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 3Rd Ave NE
Freeport, MN 56331-0309
Phone (320) 836-7150

103 3Rd Ave NE
Freeport, MN 56331-9017

PO Box
Suite 309
Freeport, MN 56331-0309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health & Wellness Center, LLC Nutrition CurrentSince Jan 1, 2013 Accepting new patients

Locations

103 3rd Ave NE
Freeport, MN 56331
Phone (320) 237-2523

103 3rd Ave NE
#309
Freeport, MN 56331

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1952347486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 3RD AVE NE",
            "address_2": "P.O. BOX 309",
            "city": "FREEPORT",
            "state": "MN",
            "postal_code": "563319017",
            "telephone_number": "320-836-7150",
            "fax_number": "320-836-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 3RD AVE NE",
            "city": "FREEPORT",
            "state": "MN",
            "postal_code": "563319017",
            "telephone_number": "320-836-7150",
            "fax_number": "320-836-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROECHEL",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "2403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.