1. Home
  2. Directory
  3. North Dakota
  4. Wahpeton
  5. Chiropractor
  6. NPI Profile

DR. ALISA T MITSKOG DC
NPI 1578598587
Chiropractor - Sports Physician in Wahpeton, ND

Active since July 11, 2006Accepts Medicare Assignment
319 11TH ST N, WAHPETON, ND 58075(701) 642-6480(701) 642-6011 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alisa T Mitskog Dc NPPES

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

DR. ALISA T MITSKOG DC (NPI 1578598587) is an individual sports physician in Wahpeton, North Dakota, licensed in North Dakota (500) and active in the NPI registry since July 2006. She is a graduate of Logan College Of Chiropractic (1989).

NPPES Registry Identity

NPI1578598587
Entity TypeIndividualFemale
Primary Taxonomy111NS0005X
Provider Legal NameDR. ALISA T MITSKOGCredential: DC
Location Address319 11TH ST NWahpeton, ND 58075-4111
Mailing Address1001 2nd Ave NWahpeton, ND 58075-4309 · (701) 642-6444 · Fax (701) 642-6011
Phone(701) 642-6480
Fax(701) 642-6011
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 1989
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 6, 2016
✔ NPI 1578598587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in ND · 500
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
319 11TH ST N, Wahpeton, ND 58075
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINU10354ND
Medicaid922509900MN
Medicare ID-Type Unspecified25402
Medicaid17175ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alisa T Mitskog Dc 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 ID749235257
PECOS Enrollment IDI20050328000771

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, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
36 services14 patients

Other Providers at the Same Location NPPES 2

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

ALISA T MITSKOG, P.C.
Clinic/Center
319 11TH ST N
WAHPETON, ND 58075
Richland County (701) 642-6444
VALLEY SPINE CENTER, INC.
Chiropractor (Sports Physician)
319 11TH ST N
WAHPETON, ND 58075
Richland County (701) 642-6480

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 Alisa Mitskog's NPI number?

The NPI number for Alisa Mitskog is 1578598587. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Alisa Mitskog located?

Alisa Mitskog practices at 319 11th St N, Wahpeton, ND 58075. The listed phone number is (701) 642-6480.

What is Alisa Mitskog's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Alisa Mitskog enrolled in Medicare?

Yes. Alisa Mitskog 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.

What insurance does Alisa Mitskog accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Alisa Mitskog 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 Alisa Mitskog was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.