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WELLNESSONE OF NISSWA
NPI 1578646360
Chiropractor in Nisswa, MN

Active since October 23, 2006
5482 COUNTY RD. 18, NISSWA, MN 56468(218) 963-3311(218) 963-3313 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wellnessone Of Nisswa NPPES

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

WELLNESSONE OF NISSWA (NPI 1578646360) is a healthcare organization registered as a chiropractor in Nisswa, Minnesota and active in the NPI registry since October 2006. The organization lists Derrek Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1578646360
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWELLNESSONE OF NISSWA
Location Address5482 COUNTY RD. 18Nisswa, MN 56468
Mailing AddressPo Box 379Nisswa, MN 56468-0379 · (218) 963-3311 · Fax (218) 963-3313
Phone(218) 963-3311
Fax(218) 963-3313
Organization SubpartNo
Authorized OfficialDerrek JohnsonOwner · (218) 963-3311
Enumeration DateOctober 23, 2006
Last NPPES UpdateJuly 24, 2007
✔ NPI 1578646360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
5482 COUNTY RD. 18, Nisswa, MN 56468
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Other Identifiers 2

Medicare ID-Type UnspecifiedCO3457MN
Medicare UPINU95595MN

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)

Wellnessone Of Nisswa 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 Wellnessone Of Nisswa, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derrek Johnson, D.C.
Chiropractic
NPI 1043393838
5482 COUNTY ROAD 18
Nisswa, MN 56468
(218) 963-3311
✔ Accepts Medicare2.4 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 Wellnessone Of Nisswa's NPI number?

The NPI number for Wellnessone Of Nisswa is 1578646360. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Wellnessone Of Nisswa located?

Wellnessone Of Nisswa is located at 5482 County Rd. 18, Nisswa, MN 56468. The listed phone number is (218) 963-3311.

What is Wellnessone Of Nisswa's specialty?

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

Is Wellnessone Of Nisswa enrolled in Medicare?

Yes. Wellnessone Of Nisswa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellnessone Of Nisswa?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wellnessone Of Nisswa. 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 Wellnessone Of Nisswa accept?

Health plans from HealthPartners list Wellnessone Of Nisswa 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 Wellnessone Of Nisswa was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.