BASS LAKE CHIROPRACTIC CLINIC, P.A.
NPI 1487747226
Chiropractor in Crystal, MN

Active since October 02, 2006
5640 W BROADWAY AVE, CRYSTAL, MN 55428(763) 537-8070(763) 537-9513 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bass Lake Chiropractic Clinic, P.a. NPPES

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

BASS LAKE CHIROPRACTIC CLINIC, P.A. (NPI 1487747226) is a healthcare organization registered as a chiropractor in Crystal, Minnesota and active in the NPI registry since October 2006. The organization lists Heather Marie Vinje, Owner, as its authorized official.

NPPES Registry Identity

NPI1487747226
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBASS LAKE CHIROPRACTIC CLINIC, P.A.
Location Address5640 W BROADWAY AVECrystal, MN 55428-3556
Mailing Address5640 W Broadway AveCrystal, MN 55428-3556 · (763) 537-8070 · Fax (763) 537-9513
Fax(763) 537-9513
Organization SubpartNo
Authorized OfficialHeather Marie VinjeOwner · (763) 537-8070
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487747226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · DC4020
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.
5640 W BROADWAY AVE, Crystal, MN 55428

Other Identifiers 1

Other4C416HUMN · Bcbs Group Id #

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bass Lake Chiropractic Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bass Lake Chiropractic Clinic, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1609140318
5640 W BROADWAY AVE
Crystal, MN 55428
(763) 537-8070
✔ Accepts MedicareSame address
Chiropractic
NPI 1104143007
4900 HIGHWAY 169 N STE 324
New Hope, MN 55428
(763) 537-8070
✔ Accepts Medicare1.8 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 Bass Lake Chiropractic Clinic, P.A.'s NPI number?

The NPI number for Bass Lake Chiropractic Clinic, P.A. is 1487747226. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Bass Lake Chiropractic Clinic, P.A. located?

Bass Lake Chiropractic Clinic, P.A. is located at 5640 W Broadway Ave, Crystal, MN 55428. The listed phone number is (763) 537-8070.

What is Bass Lake Chiropractic Clinic, P.A.'s specialty?

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

Is Bass Lake Chiropractic Clinic, P.A. enrolled in Medicare?

Yes. Bass Lake Chiropractic Clinic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bass Lake Chiropractic Clinic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Bass Lake Chiropractic Clinic, P.A.. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bass Lake Chiropractic Clinic, P.A. accept?

Health plans from HealthPartners list Bass Lake Chiropractic Clinic, P.A. 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 Bass Lake Chiropractic Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.