Individual provider Active NPI

Sarah Marie Pickhardt, D.C

  • Chiropractor
  • Anoka, MN
National Provider Identifier
1972688075
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3602 Issued in MN
Practice address
600 E Main St
Anoka, MN 55303-2527
Phone
(763) 421-3722
Fax
(763) 421-1476
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 3602 MN Primary

Addresses

Primary practice location

600 E Main St
Anoka, MN 55303-2527

Mailing address

600 E Main St
Anoka, MN 55303-2527
Phone (763) 421-3722

Other identifiers 3

IdentifierTypeStateIssuer
P00397267OtherMNMEDICARE RAILROAD
59G79PIOtherMNBLUE CROSS BLUE SHIELD
468902000MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040508000181 MN Practitioner - Chiropractic 5496744120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abeler Chiropractic Clinic PAGroup PAC ID 0143129403, 4 clinicians

Practice addresses (Care Compare)

600 E Main St
Anoka, MN 55303-2527
Phone (763) 421-3722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3602MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abeler Chiropractic Clinic, PA Chiropractor CurrentSince May 1, 2002 Accepting new patients

Locations

600 E Main St
Anoka, MN 55303
Phone (612) 421-3722

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1972688075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032527",
            "telephone_number": "763-421-3722",
            "fax_number": "763-421-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E MAIN ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032527",
            "telephone_number": "763-421-3722",
            "fax_number": "763-421-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKHARDT",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00397267",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59G79PI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468902000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.