TYLER RIESGRAF DC
NPI 1083129514
Chiropractor in Waconia, MN
About Tyler Riesgraf Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER RIESGRAF DC (NPI 1083129514) is an individual chiropractor in Waconia, Minnesota, licensed in Minnesota (6435) and active in the NPI registry since December 2017. He maintains a secondary practice location in Hutchinson and is a graduate of Northwestern College Of Chiropractic (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Tyler Riesgraf 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tyler Riesgraf reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minnetonka, MN 55345
- Reassigned Medicare billing, Minnesota enrollment
- 4 clinicians in this Medicare group
Albertville, MN 55301
- Reassigned Medicare billing, Minnesota enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyler Riesgraf's NPI number?
The NPI number for Tyler Riesgraf is 1083129514. It was assigned to this individual provider in the NPPES registry on December 6, 2017.
Where is Tyler Riesgraf located?
Tyler Riesgraf practices at 9360 Oak Ave, Waconia, MN 55387. The listed phone number is (952) 466-6533.
What is Tyler Riesgraf's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Tyler Riesgraf enrolled in Medicare?
Yes. Tyler Riesgraf 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 Tyler Riesgraf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Riesgraf reassigns Medicare benefits to 2 organizations: Healthsource Of Minnetonka LLC (Minnetonka, MN) and Chiropractic And Wellness Center Of Albertville PLLC (Albertville, 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 Tyler Riesgraf'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 Tyler Riesgraf was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.
# Tyler Riesgraf, DC · NPI 1083129514
Chiropractor provider in Waconia, Minnesota. Individual provider, active in the CMS NPPES registry since December 6, 2017.
## Identity
- **NPI:** 1083129514 (Entity type: Individual)
- **Enumerated:** December 6, 2017
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6435 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 9360 OAK AVE, Waconia, MN 55387-9422
- **Phone:** (952) 466-6533
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Healthsource Of Minnetonka LLC (NPI 1164899795, Minnetonka, MN); Chiropractic And Wellness Center Of Albertville PLLC (NPI 1770802019, Albertville, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 2017
## Record status
- **NPPES last updated:** September 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083129514) · Data from the CMS NPPES public registry.