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DR. ANICIA GWEN PETERSON D.C.
NPI 1003973702
Chiropractor in Crosslake, MN

Active since January 02, 2007Accepts Medicare Assignment
13743 E SHORE RD, CROSSLAKE, MN 56442(218) 692-1616(218) 692-1626 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anicia Gwen Peterson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANICIA GWEN PETERSON D.C. (NPI 1003973702) is an individual chiropractor in Crosslake, Minnesota, licensed in Minnesota (3138) and active in the NPI registry since January 2007. She is a graduate of Northwestern College Of Chiropractic (1993).

NPPES Registry Identity

NPI1003973702
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANICIA GWEN PETERSONCredential: D.C.
Location Address13743 E SHORE RDCrosslake, MN 56442-4033
Mailing Address13743 E Shore RdCrosslake, MN 56442-4033 · (218) 692-1616 · Fax (218) 692-1626
Phone(218) 692-1616
Fax(218) 692-1626
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 1993
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1003973702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3138
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
13743 E SHORE RD, Crosslake, MN 56442
Open in Google Maps ↗

Other Identifiers 3

Other68D24NOMN · Bcbs Office Id #
Medicare UPINU43462MN
Other68D25PEMN · Bcbs Individual Id #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anicia Gwen Peterson D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325149560
PECOS Enrollment IDI20070718000589

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
229 services25 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWOODS CHIROPRACTIC P. A.
Chiropractor
13743 E SHORE RD
CROSSLAKE, MN 56442
Crow Wing County (218) 692-1616

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 Anicia Peterson's NPI number?

The NPI number for Anicia Peterson is 1003973702. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Anicia Peterson located?

Anicia Peterson practices at 13743 E Shore Rd, Crosslake, MN 56442. The listed phone number is (218) 692-1616.

What is Anicia Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Anicia Peterson enrolled in Medicare?

Yes. Anicia Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anicia Peterson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.