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PARK PERFORMANCE CHIROPRACTIC, PLC
NPI 1417358490
Chiropractor in Park Rapids, MN

Active since September 10, 2014
716 1ST ST E, PARK RAPIDS, MN 56470(182) 366-2174(218) 366-2175 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 20, 2023, Jun 12, 2019 (2 updates tracked since 2019).

About Park Performance Chiropractic, Plc NPPES

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

PARK PERFORMANCE CHIROPRACTIC, PLC (NPI 1417358490) is a healthcare organization registered as a chiropractor in Park Rapids, Minnesota and active in the NPI registry since September 2014. The organization maintains a secondary practice location in Park Rapids and lists Jeremy John Nelson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417358490
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePARK PERFORMANCE CHIROPRACTIC, PLC
Location Address716 1ST ST EPark Rapids, MN 56470-1707
Mailing Address716 1st St EPark Rapids, MN 56470-1707 · (182) 366-2174 · Fax (218) 366-2175
Phone(182) 366-2174
Fax(218) 366-2175
Organization SubpartNo
Authorized OfficialJeremy John NelsonOwner · (763) 670-2990
Enumeration DateSeptember 10, 2014
Last NPPES UpdateJuly 20, 20232 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1417358490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5635
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.
716 1ST ST E, Park Rapids, MN 56470
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Secondary Practice Location 1

Location 119037 US Hwy 71Park Rapids, MN 56470 · Phone (218) 366-2174 · Fax (218) 366-2175

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)

Park Performance Chiropractic, Plc 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 Park Performance Chiropractic, Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Nelson, D.C.
Chiropractic
NPI 1013285626
104 PARK AVE N SUITE 101
Park Rapids, MN 56470
(218) 366-2174
0.5 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 Park Performance Chiropractic, Plc's NPI number?

The NPI number for Park Performance Chiropractic, Plc is 1417358490. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Park Performance Chiropractic, Plc located?

Park Performance Chiropractic, Plc is located at 716 1st St E, Park Rapids, MN 56470. The listed phone number is (182) 366-2174.

What is Park Performance Chiropractic, Plc's specialty?

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

Is Park Performance Chiropractic, Plc enrolled in Medicare?

Yes. Park Performance Chiropractic, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Performance Chiropractic, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Park Performance Chiropractic, Plc. 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 Park Performance Chiropractic, Plc accept?

Health plans from HealthPartners list Park Performance Chiropractic, Plc 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 Park Performance Chiropractic, Plc was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.