1. Home
  2. Directory
  3. Minnesota
  4. Baxter
  5. Chiropractor
  6. NPI Profile

CROW WING CHIROPRACTIC PC
NPI 1154741288
Chiropractor in Baxter, MN

Active since April 16, 2014
15229 EDGEWOOD DR STE 125, BAXTER, MN 56401(218) 205-1908 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crow Wing Chiropractic Pc NPPES

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

CROW WING CHIROPRACTIC PC (NPI 1154741288) is a healthcare organization registered as a chiropractor in Baxter, Minnesota and active in the NPI registry since April 2014. The organization lists Jedediah Moore, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1154741288
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCROW WING CHIROPRACTIC PC
Location Address15229 EDGEWOOD DR STE 125Baxter, MN 56401-6920
Mailing Address15229 Edgewood Dr Ste 125Baxter, MN 56425 · (218) 454-2840 · Fax (218) 454-2841
Phone(218) 205-1908
Organization SubpartNo
Authorized OfficialJedediah MooreChiropractor · (218) 205-1908
Enumeration DateApril 16, 2014
Last NPPES UpdateJune 4, 2014
✔ NPI 1154741288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5700
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.
15229 EDGEWOOD DR STE 125, Baxter, MN 56401
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Crow Wing Chiropractic Pc 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 Crow Wing Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jedediah Moore, D.C.
Chiropractic
NPI 1811246192
19332 HIGHWAY 169
Elk River, MN 55330
(763) 441-7788
✔ Accepts Medicare80 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 Crow Wing Chiropractic PC's NPI number?

The NPI number for Crow Wing Chiropractic PC is 1154741288. It was assigned to this organization in the NPPES registry on April 16, 2014.

Where is Crow Wing Chiropractic PC located?

Crow Wing Chiropractic PC is located at 15229 Edgewood Dr Ste 125, Baxter, MN 56401. The listed phone number is (218) 205-1908.

What is Crow Wing Chiropractic PC's specialty?

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

Is Crow Wing Chiropractic PC enrolled in Medicare?

Yes. Crow Wing Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crow Wing Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Crow Wing Chiropractic PC. 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 Crow Wing Chiropractic PC accept?

Health plans from HealthPartners list Crow Wing Chiropractic PC 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 Crow Wing Chiropractic PC was last updated on June 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.