DR. SAMANTHA MARIE DAVIDSON HERMSEN D.C.
NPI 1043555055
Chiropractor in Prior Lake, MN

Active since December 02, 2012Accepts Medicare Assignment
6880 BOUDIN ST NE STE 230, PRIOR LAKE, MN 55372(952) 447-0985(952) 447-0986 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samantha Marie Davidson Hermsen D.c. NPPES

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

DR. SAMANTHA MARIE DAVIDSON HERMSEN D.C. (NPI 1043555055) is an individual chiropractor in Prior Lake, Minnesota, licensed in Minnesota (5713) and active in the NPI registry since December 2012. She maintains 2 additional practice locations and is a graduate of Northwestern College Of Chiropractic (2012).

NPPES Registry Identity

NPI1043555055
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMANTHA MARIE DAVIDSON HERMSENCredential: D.C.
Location Address6880 BOUDIN ST NE STE 230Prior Lake, MN 55372
Mailing Address6880 Boudin St Ne Ste 230Prior Lake, MN 55372-1510 · (952) 447-0985 · Fax (952) 447-0986
Fax(952) 447-0986
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2012
Enumeration DateDecember 2, 2012
Last NPPES UpdateSeptember 3, 2019
NPI 1043555055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 5713
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.
6880 BOUDIN ST NE STE 230, Prior Lake, MN 55372

Secondary Practice Locations 2

Location 17920 Mitchell RdEden Prairie, MN 55344-2218 · Phone (952) 345-6110 · Fax (952) 955-8222
Location 26880 Boudin St NE Ste 230Prior Lake, MN 55372 · Phone (952) 447-0985 · Fax (952) 447-0986

Accepted Insurance

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. Samantha Marie Davidson Hermsen 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 ID7012162415
PECOS Enrollment IDI20130311000494

Other Providers at the Same Location NPPES 2

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

Chiropractor
6880 BOUDIN ST NE STE 230
PRIOR LAKE, MN 55372
Chiropractor
6880 BOUDIN ST NE STE 230
PRIOR LAKE, MN 55372

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 Samantha Hermsen's NPI number?

The NPI number for Samantha Hermsen is 1043555055. It was assigned to this individual provider in the NPPES registry on December 2, 2012.

Where is Samantha Hermsen located?

Samantha Hermsen practices at 6880 Boudin St NE Ste 230, Prior Lake, MN 55372. The listed phone number is (952) 447-0985.

What is Samantha Hermsen's specialty?

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

Is Samantha Hermsen enrolled in Medicare?

Yes. Samantha Hermsen 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.

What insurance does Samantha Hermsen accept?

Health plans from HealthPartners list Samantha Hermsen 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 Samantha Hermsen was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.