INTEGRATED HEALTH & WELLNESS CENTER, LLC
NPI 1043555840
Chiropractor - Nutrition in Freeport, MN

Active since December 05, 2012CLIA 24D0922159 · Waiver
103 3RD AVE NE, FREEPORT, MN 56331(320) 836-7150(320) 836-7162 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Integrated Health & Wellness Center, Llc NPPES

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

INTEGRATED HEALTH & WELLNESS CENTER, LLC (NPI 1043555840) is a healthcare organization registered as a nutrition in Freeport, Minnesota and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through November 17, 2028 and lists Debra J Proechel, Owner, as its authorized official.

NPPES Registry Identity

NPI1043555840
Entity TypeOrganization
Primary Taxonomy111NN1001X
Legal Business NameINTEGRATED HEALTH & WELLNESS CENTER, LLC
Location Address103 3RD AVE NEFreeport, MN 56331-9017
Mailing Address103 3rd Ave Ne, P.o. Box 309Freeport, MN 56331-9017 · (320) 836-7150 · Fax (320) 836-7162
Fax(320) 836-7162
Organization SubpartNo
Authorized OfficialDebra J ProechelOwner · (320) 836-7150
Enumeration DateDecember 5, 2012
✔ NPI 1043555840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
License✔ Licensed in MN · 2403
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
103 3RD AVE NE, Freeport, MN 56331

Other Identifiers 3

Medicare UPIN77158TRMN
Medicaid929827400MN
Medicare PIN359000544MN

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Health & Wellness Center, Llc 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 Integrated Health & Wellness Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1952347486
103 3RD AVE NE
Freeport, MN 56331
(320) 836-7150
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D0922159

Integrated Health & Wellness Center · Freeport, MN
Active · expires Nov 17, 2028
CLIA Number24D0922159
Laboratory TypePractitioner Other
Certificate Effective DateNovember 18, 2026
Certificate Expiration DateNovember 17, 2028
Laboratory DirectorDebra J. Proechel
Laboratory Phone(320) 255-1309
Laboratory LocationIntegrated Health & Wellness Center103 3rd Ave NE, Freeport, MN 56331
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Integrated Health & Wellness Center, LLC's NPI number?

The NPI number for Integrated Health & Wellness Center, LLC is 1043555840. It was assigned to this organization in the NPPES registry on December 5, 2012.

Where is Integrated Health & Wellness Center, LLC located?

Integrated Health & Wellness Center, LLC is located at 103 3rd Ave NE, Freeport, MN 56331. The listed phone number is (320) 836-7150.

What is Integrated Health & Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Integrated Health & Wellness Center, LLC enrolled in Medicare?

Yes. Integrated Health & Wellness Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Health & Wellness Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Integrated Health & Wellness Center, LLC. 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.

Does Integrated Health & Wellness Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0922159) is associated with this NPI, valid through November 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Health & Wellness Center, LLC was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.