INTEGRATIVE CHIROPRACTIC AND FUNCTIONAL MEDICINE CLINIC, LLC
NPI 1063019792
Chiropractor in Gretna, NE

Q: What is Integrative Chiropractic And Functional Medicine Clinic, LLC's specialty?

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

Active since October 06, 2020

11922 STANDING STONE DR STE 200, GRETNA, NE 68028(785) 259-3700 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2020, Oct 6, 2020 (2 updates tracked since 2020).

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About Integrative Chiropractic And Functional Medicine Clinic, Llc NPPES

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

INTEGRATIVE CHIROPRACTIC AND FUNCTIONAL MEDICINE CLINIC, LLC (NPI 1063019792) is a healthcare organization registered as a chiropractor in Gretna, Nebraska and active in the NPI registry since October 2020. The organization lists Kyle Dean Hedlund, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1063019792

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameINTEGRATIVE CHIROPRACTIC AND FUNCTIONAL MEDICINE CLINIC, LLC

Location Address11922 STANDING STONE DR STE 200Gretna, NE 68028-3887

Mailing Address11922 Standing Stone Dr Ste 200Gretna, NE 68028-3887 · (785) 259-3700

Phone(785) 259-3700

Organization SubpartNo

Authorized OfficialKyle Dean HedlundOwner/chiropractor · (785) 259-3700

Enumeration DateOctober 6, 2020

Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration

NPPES CertifiedDecember 8, 2020

✔ NPI 1063019792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

11922 STANDING STONE DR STE 200, Gretna, NE 68028

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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 Blue Cross and Blue Shield of Nebraska.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)

Integrative Chiropractic And Functional Medicine Clinic, 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 Integrative Chiropractic And Functional Medicine Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Hedlund, DC

Chiropractic

NPI 1275198384

5002 S 235TH ST
Elkhorn, NE 68022

(785) 259-3700

✔ Accepts Medicare5.5 mi

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 Integrative Chiropractic And Functional Medicine Clinic, LLC's NPI number?

The NPI number for Integrative Chiropractic And Functional Medicine Clinic, LLC is 1063019792. It was assigned to this organization in the NPPES registry on October 6, 2020.

Where is Integrative Chiropractic And Functional Medicine Clinic, LLC located?

Integrative Chiropractic And Functional Medicine Clinic, LLC is located at 11922 Standing Stone Dr Ste 200, Gretna, NE 68028. The listed phone number is (785) 259-3700.

What is Integrative Chiropractic And Functional Medicine Clinic, LLC's specialty?

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

Is Integrative Chiropractic And Functional Medicine Clinic, LLC enrolled in Medicare?

Yes. Integrative Chiropractic And Functional Medicine Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Chiropractic And Functional Medicine Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Integrative Chiropractic And Functional Medicine Clinic, 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.

What insurance does Integrative Chiropractic And Functional Medicine Clinic, LLC accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Integrative Chiropractic And Functional Medicine Clinic, LLC 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 Integrative Chiropractic And Functional Medicine Clinic, LLC was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.