RYAN WICHT D.C.
NPI 1114391141
Chiropractor in Maple Grove, MN

Active since November 13, 2015Accepts Medicare Assignment
9664 63RD AVE N, MAPLE GROVE, MN 55369(763) 504-0395(612) 295-0022 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2018, Mar 28, 2018, Nov 13, 2015 (3 updates tracked since 2015).

About Ryan Wicht D.c. NPPES

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

RYAN WICHT D.C. (NPI 1114391141) is an individual chiropractor in Maple Grove, Minnesota, licensed in Minnesota (6134) and active in the NPI registry since November 2015. He maintains a secondary practice location in Rochester and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114391141
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRYAN WICHTCredential: D.C.
Location Address9664 63RD AVE NMaple Grove, MN 55369-6200
Mailing Address9664 63rd Ave NMaple Grove, MN 55369-6200
Fax(612) 295-0022
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 13, 2015
Last NPPES UpdateDecember 10, 20183 updates tracked since enumeration
✔ NPI 1114391141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6134
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.
9664 63RD AVE N, Maple Grove, MN 55369

Secondary Practice Location 1

Location 1600 11th Ave NWRochester, MN 55901-1805 · Phone (507) 285-1677

Accepted Insurance

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

Ryan Wicht 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 ID9931402179
PECOS Enrollment IDI20160122000575

Medicare Billing Reassignments

2

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

Chiropractor
9664 63RD AVE N
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
Chiropractor
137 2ND AVE SW
Cambridge, MN 55008
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Comprehensive Health Clinics PA
  • 4 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.

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, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
164 services17 patients

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.

Chiropractor
9664 63RD AVE N
MAPLE GROVE, MN 55369
Massage Therapist
9664 63RD AVE N
MAPLE GROVE, MN 55369
Chiropractor
9664 63RD AVE N
MAPLE GROVE, MN 55369

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 Ryan Wicht's NPI number?

The NPI number for Ryan Wicht is 1114391141. It was assigned to this individual provider in the NPPES registry on November 13, 2015.

Where is Ryan Wicht located?

Ryan Wicht practices at 9664 63rd Ave N, Maple Grove, MN 55369. The listed phone number is (763) 504-0395.

What is Ryan Wicht's specialty?

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

Is Ryan Wicht enrolled in Medicare?

Yes. Ryan Wicht 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 Ryan Wicht's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Wicht reassigns Medicare benefits to 2 organizations: Back In Motion Chiropractic (Maple Grove, MN) and Comprehensive Health Clinics, P.A. (Cambridge, 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 Ryan Wicht's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Wicht accept?

Health plans from HealthPartners list Ryan Wicht 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 Ryan Wicht was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.