DR. CARRIE ELLEN CLARK D.C.
NPI 1164461703
Chiropractor in Edina, MN

Active since June 06, 2006Accepts Medicare Assignment
3948 W 50TH ST, STE 203, EDINA, MN 55424(952) 920-4528(952) 927-4226 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carrie Ellen Clark D.c. NPPES

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

DR. CARRIE ELLEN CLARK D.C. (NPI 1164461703) is an individual chiropractor in Edina, Minnesota, licensed in Minnesota (3928) and active in the NPI registry since June 2006. She is a graduate of Northwestern College Of Chiropractic (2000).

NPPES Registry Identity

NPI1164461703
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. CARRIE ELLEN CLARKCredential: D.C.
Location Address3948 W 50TH ST, STE 203Edina, MN 55424-1210
Mailing Address9744 Woodridge DrEden Prairie, MN 55347-4249 · (612) 382-7408 · Fax (952) 927-4226
Fax(952) 927-4226
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2000
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1164461703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3928
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.
3948 W 50TH ST, Edina, MN 55424

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

Dr. Carrie Ellen Clark 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 ID6406859487
PECOS Enrollment IDI20060811000191

Medicare Billing Reassignments

2

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

Chiropractor
3948 W 50TH ST, SUITE 203
Edina, MN 55424
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
Chiropractor
1211 JACKSON ST NE, SUITE 121
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 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.
95 services22 patients

Other Providers at the Same Location NPPES 8

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

Dentist
3948 W 50TH ST, SUITE 205
EDINA, MN 55424
Chiropractor
3948 W 50TH ST, STE 203
EDINA, MN 55424
Chiropractor
3948 W 50TH ST, SUITE 203
EDINA, MN 55424
Dentist
3948 W 50TH ST, SUITE 201
EDINA, MN 55424
Chiropractor
3948 W 50TH ST, SUITE 203
EDINA, MN 55424
Chiropractor
3948 W 50TH ST, STE 203
EDINA, MN 55424
Acupuncturist
3948 W 50TH ST, #203
EDINA, MN 55424
Dentist
3948 W 50TH ST, STE 201
EDINA, MN 55424

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 Carrie Clark's NPI number?

The NPI number for Carrie Clark is 1164461703. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Carrie Clark located?

Carrie Clark practices at 3948 W 50th St Ste 203, Edina, MN 55424. The listed phone number is (952) 920-4528.

What is Carrie Clark's specialty?

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

Is Carrie Clark enrolled in Medicare?

Yes. Carrie Clark 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 Carrie Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Clark reassigns Medicare benefits to 2 organizations: 50th & France Chiropractic & Wellness PLLC (Edina, MN) and Traditionally Healthy (Minneapolis, 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 Carrie Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Clark accept?

Health plans from HealthPartners list Carrie Clark 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 Carrie Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.