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PETERSEN CHIROPRACTIC CENTER PC
NPI 1194076943
Chiropractor in Kearney, NE

Active since September 19, 2012
3812 4TH AVE, KEARNEY, NE 68845(308) 237-7700(308) 236-7605 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Petersen Chiropractic Center Pc NPPES

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

PETERSEN CHIROPRACTIC CENTER PC (NPI 1194076943) is a healthcare organization registered as a chiropractor in Kearney, Nebraska and active in the NPI registry since September 2012. The organization lists Rand A Petersen, Doctor/president, as its authorized official.

NPPES Registry Identity

NPI1194076943
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePETERSEN CHIROPRACTIC CENTER PC
Location Address3812 4TH AVEKearney, NE 68845-2832
Mailing Address3812 4th AveKearney, NE 68845-2832 · (308) 237-7700 · Fax (308) 236-7605
Phone(308) 237-7700
Fax(308) 236-7605
Organization SubpartNo
Authorized OfficialRand A PetersenDoctor/president · (308) 237-7700
Enumeration DateSeptember 19, 2012
✔ NPI 1194076943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NE · 897
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.
3812 4TH AVE, Kearney, NE 68845
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petersen Chiropractic Center 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 Petersen Chiropractic Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rand Petersen, D.C.
Chiropractic
NPI 1265475073
3812 4TH AVE
Kearney, NE 68845
(308) 237-7700
✔ Accepts MedicareSame address

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 Petersen Chiropractic Center PC's NPI number?

The NPI number for Petersen Chiropractic Center PC is 1194076943. It was assigned to this organization in the NPPES registry on September 19, 2012.

Where is Petersen Chiropractic Center PC located?

Petersen Chiropractic Center PC is located at 3812 4th Ave, Kearney, NE 68845. The listed phone number is (308) 237-7700.

What is Petersen Chiropractic Center PC's specialty?

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

Is Petersen Chiropractic Center PC enrolled in Medicare?

Yes. Petersen Chiropractic Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Petersen Chiropractic Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Petersen Chiropractic Center 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.

When was this NPI record last updated?

The NPPES record for Petersen Chiropractic Center PC was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.