PURE LIFE CHIROPRACTIC AND WELLNESS CENTER, LTD
NPI 1225309248
Point of Service in Glencoe, MN

Q: What is Pure Life Chiropractic And Wellness Center, Ltd's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since January 23, 2012

920 10TH ST E, GLENCOE, MN 55336(320) 864-6249(320) 864-6243 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pure Life Chiropractic And Wellness Center, Ltd NPPES

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

PURE LIFE CHIROPRACTIC AND WELLNESS CENTER, LTD (NPI 1225309248) is a healthcare organization registered as a point of service in Glencoe, Minnesota and active in the NPI registry since January 2012. The organization lists Nicholas Ryan Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1225309248

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NamePURE LIFE CHIROPRACTIC AND WELLNESS CENTER, LTD

Location Address920 10TH ST EGlencoe, MN 55336-2301

Mailing Address920 10th St EGlencoe, MN 55336-2301 · (320) 864-6249 · Fax (320) 864-6243

Phone(320) 864-6249

Fax(320) 864-6243

Organization SubpartNo

Authorized OfficialNicholas Ryan JohnsonPresident/owner · (320) 864-6249

Enumeration DateJanuary 23, 2012

✔ NPI 1225309248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

License✔ Licensed in MN · 5603

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

920 10TH ST E, Glencoe, MN 55336

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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)

Pure Life Chiropractic And Wellness Center, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pure Life Chiropractic And Wellness Center, Ltd, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jordan Carstensen, DC

Chiropractic

NPI 1326536913

920 10TH ST E
Glencoe, MN 55336

(320) 864-6249

Same address

Nicholas Johnson, D.C.

Chiropractic

NPI 1750651022

920 10TH ST E
Glencoe, MN 55336

(320) 864-6249

✔ Accepts MedicareSame address

Anna Lano, DC

Chiropractic

NPI 1508487174

920 10TH ST E
Glencoe, MN 55336

(320) 864-6249

✔ 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 Pure Life Chiropractic And Wellness Center, Ltd's NPI number?

The NPI number for Pure Life Chiropractic And Wellness Center, Ltd is 1225309248. It was assigned to this organization in the NPPES registry on January 23, 2012.

Where is Pure Life Chiropractic And Wellness Center, Ltd located?

Pure Life Chiropractic And Wellness Center, Ltd is located at 920 10th St E, Glencoe, MN 55336. The listed phone number is (320) 864-6249.

What is Pure Life Chiropractic And Wellness Center, Ltd's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Pure Life Chiropractic And Wellness Center, Ltd enrolled in Medicare?

Yes. Pure Life Chiropractic And Wellness Center, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pure Life Chiropractic And Wellness Center, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Pure Life Chiropractic And Wellness Center, Ltd. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pure Life Chiropractic And Wellness Center, Ltd accept?

Health plans from HealthPartners list Pure Life Chiropractic And Wellness Center, Ltd 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 Pure Life Chiropractic And Wellness Center, Ltd was last updated on January 23, 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.