Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is John Ketelsen's specialty?

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

Q: 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 45 days 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.

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: August 16, 2026.

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

On this page

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

Open in Google Maps ↗

Accepted Insurance

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

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.

What insurance does John Ketelsen accept?

Health plans from HealthPartners and Medica 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 45 days 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.