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HEALTHSOURCE OF BLAINE CHIROPRACTIC & PROGRESSIVE REHAB
NPI 1023381043
Chiropractor in Blaine, MN

Active since February 22, 2012
10904 BALTIMORE ST NE, STE 103, BLAINE, MN 55449(763) 205-3781 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healthsource Of Blaine Chiropractic & Progressive Rehab NPPES

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

HEALTHSOURCE OF BLAINE CHIROPRACTIC & PROGRESSIVE REHAB (NPI 1023381043) is a healthcare organization registered as a chiropractor in Blaine, Minnesota and active in the NPI registry since February 2012. The organization lists Robert L Vaughn, Owner, as its authorized official.

NPPES Registry Identity

NPI1023381043
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameVAUGHN CHIROPRACTIC PLLC
Location Address10904 BALTIMORE ST NE, STE 103Blaine, MN 55449-5061
Mailing Address10904 Baltimore St Ne, Ste 103Blaine, MN 55449-5061 · (763) 205-3781
Phone(763) 205-3781
Organization SubpartNo
Authorized OfficialRobert L VaughnOwner · (763) 205-3781
Enumeration DateFebruary 22, 2012
✔ NPI 1023381043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5587
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.
10904 BALTIMORE ST NE, Blaine, MN 55449
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Other Names 1

Doing Business AsHealthsource Of Blaine Chiropractic & Progressive Rehab

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Of Blaine Chiropractic & Progressive Rehab 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 Healthsource Of Blaine Chiropractic & Progressive Rehab, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Vaughn, D.C. ATC. ATR
Chiropractic
NPI 1316217144
10904 BALTIMORE ST NE STE 103
Blaine, MN 55449
(763) 242-4271
✔ Accepts MedicareSame address

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 Vaughn Chiropractic PLLC's NPI number?

The NPI number for Vaughn Chiropractic PLLC is 1023381043. It was assigned to this organization in the NPPES registry on February 22, 2012. The provider is doing business as Healthsource Of Blaine Chiropractic & Progressive Rehab.

Where is Vaughn Chiropractic PLLC located?

Vaughn Chiropractic PLLC is located at 10904 Baltimore St NE Ste 103, Blaine, MN 55449. The listed phone number is (763) 205-3781.

What is Vaughn Chiropractic PLLC's specialty?

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

Is Vaughn Chiropractic PLLC enrolled in Medicare?

Yes. Vaughn Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vaughn Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Vaughn Chiropractic PLLC. 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.

What insurance does Vaughn Chiropractic PLLC accept?

Health plans from HealthPartners list Vaughn Chiropractic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vaughn Chiropractic PLLC was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.