PREMIER HEALTH OF COON RAPIDS, INC
NPI 1073915732
Chiropractor in Coon Rapids, MN

Active since September 24, 2014
3340 NORTHDALE BLVD NW, SUITE 120, COON RAPIDS, MN 55448(763) 270-5828(763) 270-5849 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2020, Nov 9, 2015 (2 updates tracked since 2015).

About Premier Health Of Coon Rapids, Inc NPPES

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

PREMIER HEALTH OF COON RAPIDS, INC (NPI 1073915732) is a healthcare organization registered as a chiropractor in Coon Rapids, Minnesota and active in the NPI registry since September 2014. The organization lists Kelsey Chmiel, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1073915732
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePREMIER HEALTH OF COON RAPIDS, INC
Location Address3340 NORTHDALE BLVD NW, SUITE 120Coon Rapids, MN 55448-1622
Mailing Address3340 Northdale Blvd Nw, Suite 120Coon Rapids, MN 55448-1622 · (763) 270-5828 · Fax (763) 270-5849
Fax(763) 270-5849
Organization SubpartNo
Authorized OfficialKelsey ChmielCo-owner · (763) 270-5828
Enumeration DateSeptember 24, 2014
Last NPPES UpdateSeptember 15, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1073915732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5855
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.
3340 NORTHDALE BLVD NW, Coon Rapids, MN 55448

Other Identifiers 1

Medicaid1386068658MN

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 MULTIPLE 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)

Premier Health Of Coon Rapids, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Health Of Coon Rapids, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1386068658
3340 NORTHDALE BLVD NW STE 120
Coon Rapids, MN 55448
(763) 270-5828
Same address
Chiropractic
NPI 1043029499
21151 JOHN MILLESS DR STE C
Rogers, MN 55374
(763) 645-7993
9.7 mi
Physical Therapist in Private Practice
NPI 1275069676
12324 WAYZATA BLVD
Minnetonka, MN 55305
(952) 835-4512
✔ Accepts Medicare17 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 Premier Health Of Coon Rapids, Inc's NPI number?

The NPI number for Premier Health Of Coon Rapids, Inc is 1073915732. It was assigned to this organization in the NPPES registry on September 24, 2014.

Where is Premier Health Of Coon Rapids, Inc located?

Premier Health Of Coon Rapids, Inc is located at 3340 Northdale Blvd NW Suite 120, Coon Rapids, MN 55448. The listed phone number is (763) 270-5828.

What is Premier Health Of Coon Rapids, Inc's specialty?

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

Is Premier Health Of Coon Rapids, Inc enrolled in Medicare?

Yes. Premier Health Of Coon Rapids, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Health Of Coon Rapids, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Premier Health Of Coon Rapids, Inc, in Chiropractic and Physical Therapist in Private Practice. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Health Of Coon Rapids, Inc was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.