FOSSTON CHIROPRACTIC CLINIC, P.A.
NPI 1063796795
Chiropractor in Fosston, MN

Active since September 29, 2011
104 JOHNSON AVE N, FOSSTON, MN 56542(218) 435-6186 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fosston Chiropractic Clinic, P.a. NPPES

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

FOSSTON CHIROPRACTIC CLINIC, P.A. (NPI 1063796795) is a healthcare organization registered as a chiropractor in Fosston, Minnesota and active in the NPI registry since September 2011. The organization lists Gabriel Wiener, Owner, as its authorized official.

NPPES Registry Identity

NPI1063796795
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFOSSTON CHIROPRACTIC CLINIC, P.A.
Location Address104 JOHNSON AVE NFosston, MN 56542-1328
Mailing Address104 Johnson Ave NFosston, MN 56542-1328
Organization SubpartNo
Authorized OfficialGabriel WienerOwner · (218) 435-6186
Enumeration DateSeptember 29, 2011
✔ NPI 1063796795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4402
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.
104 JOHNSON AVE N, Fosston, MN 56542

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fosston Chiropractic Clinic, P.a. 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 Fosston Chiropractic Clinic, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1891794293
104 JOHNSON AVE N
Fosston, MN 56542
(218) 435-6186
✔ Accepts MedicareSame address

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 Fosston Chiropractic Clinic, P.A.'s NPI number?

The NPI number for Fosston Chiropractic Clinic, P.A. is 1063796795. It was assigned to this organization in the NPPES registry on September 29, 2011.

Where is Fosston Chiropractic Clinic, P.A. located?

Fosston Chiropractic Clinic, P.A. is located at 104 Johnson Ave N, Fosston, MN 56542. The listed phone number is (218) 435-6186.

What is Fosston Chiropractic Clinic, P.A.'s specialty?

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

Is Fosston Chiropractic Clinic, P.A. enrolled in Medicare?

Yes. Fosston Chiropractic Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fosston Chiropractic Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Fosston Chiropractic Clinic, P.A.. 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 Fosston Chiropractic Clinic, P.A. accept?

Health plans from HealthPartners list Fosston Chiropractic Clinic, P.A. 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 Fosston Chiropractic Clinic, P.A. was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.