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LOGAN KLETTENBERG D.C.
NPI 1083090765
Chiropractor in Bagley, MN

Active since August 05, 2015Accepts Medicare Assignment
119 MAIN AVE N, BAGLEY, MN 56621(218) 252-9455 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 17, 2026, Mar 10, 2019 (2 updates tracked since 2019).

About Logan Klettenberg D.c. NPPES

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

LOGAN KLETTENBERG D.C. (NPI 1083090765) is an individual chiropractor in Bagley, Minnesota, licensed in Minnesota (6119) and active in the NPI registry since August 2015. He is a graduate of Palmer College Chiropractic - Davenport (2015).

NPPES Registry Identity

NPI1083090765
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameLOGAN KLETTENBERGCredential: D.C.
Location Address119 MAIN AVE NBagley, MN 56621-8316
Mailing AddressPo Box 872Bagley, MN 56621-0872 · (218) 694-2242
Phone(218) 252-9455
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2015
Enumeration DateAugust 5, 2015
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1083090765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6119
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.
119 MAIN AVE N, Bagley, MN 56621
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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

Logan Klettenberg D.c. 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 ID2163736836
PECOS Enrollment IDI20150810000559

Medicare Billing Reassignments

2

Medicare enrollment records show Logan Klettenberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Klettenberg Chiropractic PLLC
Same address
Chiropractor
119 MAIN AVE N
Bagley, MN 56621
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1104399708 (218) 252-9455
Heartland Center Of Natural Healing, PLLC
45 mi
Chiropractor
1202 1ST ST E
Park Rapids, MN 56470
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1376894014 (218) 237-3771

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
62 services18 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KLETTENBERG CHIROPRACTIC PLLC
Chiropractor
119 MAIN AVE N
BAGLEY, MN 56621
Clearwater County (218) 252-9455

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 Logan Klettenberg's NPI number?

The NPI number for Logan Klettenberg is 1083090765. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Logan Klettenberg located?

Logan Klettenberg practices at 119 Main Ave N, Bagley, MN 56621. The listed phone number is (218) 252-9455.

What is Logan Klettenberg's specialty?

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

Is Logan Klettenberg enrolled in Medicare?

Yes. Logan Klettenberg 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 organizations bill Medicare for Logan Klettenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Klettenberg reassigns Medicare benefits to 2 organizations: Klettenberg Chiropractic PLLC (Bagley, MN) and Heartland Center Of Natural Healing, PLLC (Park Rapids, MN). Each 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 Logan Klettenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Logan Klettenberg was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.