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DR. JOHN MICHAEL KETELSEN DC
NPI 1043773013
Chiropractor in Coon Rapids, MN

Active since April 08, 2019Accepts Medicare Assignment
1835 GATEWAY DR NW STE 104, COON RAPIDS, MN 55448(763) 710-8888(763) 225-5629 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 6, 2026, Oct 31, 2019, Apr 8, 2019 (3 updates tracked since 2019).

About Dr. John Michael Ketelsen Dc NPPES

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

DR. JOHN MICHAEL KETELSEN DC (NPI 1043773013) is an individual chiropractor in Coon Rapids, Minnesota, licensed in Minnesota (6612) and active in the NPI registry since April 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1043773013
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JOHN MICHAEL KETELSENCredential: DC
Location Address1835 GATEWAY DR NW STE 104Coon Rapids, MN 55448-4513
Mailing Address1835 Gateway Dr Nw Ste 104Coon Rapids, MN 55448-4513 · (763) 710-8888 · Fax (763) 225-5629
Phone(763) 710-8888
Fax(763) 225-5629
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2019
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1043773013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6612
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.
1835 GATEWAY DR NW STE 104, Coon Rapids, MN 55448
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Michael Ketelsen Dc 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 ID8921339995
PECOS Enrollment IDI20191007002106

Medicare Billing Reassignment

Medicare enrollment records show John Ketelsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moe Chiro Tres PLLC
0.7 mi
Chiropractor
1835 GATEWAY DR STE 104
Coon Rapids, MN 55448
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1063054302 (763) 710-8888

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 John Ketelsen's NPI number?

The NPI number for John Ketelsen is 1043773013. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is John Ketelsen located?

John Ketelsen practices at 1835 Gateway Dr NW Ste 104, Coon Rapids, MN 55448. The listed phone number is (763) 710-8888.

What is John Ketelsen's specialty?

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

Is John Ketelsen enrolled in Medicare?

Yes. John Ketelsen 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.

Which organization bills Medicare for John Ketelsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Ketelsen reassigns Medicare benefits to Moe Chiro Tres PLLC (Coon Rapids, MN). The 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 John Ketelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Ketelsen accept?

Health plans from HealthPartners list John Ketelsen 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 John Ketelsen was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.