BOLINE FENSTRA CHIROPRACTIC PC
NPI 1003075615
Chiropractor in Willmar, MN
About Boline Fenstra Chiropractic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOLINE FENSTRA CHIROPRACTIC PC (NPI 1003075615) is a healthcare organization registered as a chiropractor in Willmar, Minnesota and active in the NPI registry since June 2008. The organization lists Kendall A Boline Fenstra, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boline Fenstra Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Boline Fenstra Chiropractic PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boline Fenstra Chiropractic PC's NPI number?
The NPI number for Boline Fenstra Chiropractic PC is 1003075615. It was assigned to this organization in the NPPES registry on June 9, 2008.
Where is Boline Fenstra Chiropractic PC located?
Boline Fenstra Chiropractic PC is located at 1101 1st St S, Willmar, MN 56201. The listed phone number is (320) 235-0515.
What is Boline Fenstra Chiropractic PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Boline Fenstra Chiropractic PC enrolled in Medicare?
Yes. Boline Fenstra Chiropractic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boline Fenstra Chiropractic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Boline Fenstra Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Boline Fenstra Chiropractic PC was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Boline Fenstra Chiropractic Pc · NPI 1003075615
Chiropractor organization in Willmar, Minnesota. Organization record, active in the CMS NPPES registry since June 9, 2008.
## Identity
- **NPI:** 1003075615 (Entity type: Organization)
- **Enumerated:** June 9, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Kendall Boline Fenstra, OWNER
## Practice location
- **Address:** 1101 1ST ST S, Willmar, MN 56201-3592
- **Phone:** (320) 235-0515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2015
- **Other identifiers:** Medicare UPIN C07239 (MN); Medicaid 900022400 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1003075615) · Data from the CMS NPPES public registry.