PETERSON WELLNESS CLINIC P.A.
NPI 1639791932
Chiropractor in Spicer, MN
About Peterson Wellness Clinic P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETERSON WELLNESS CLINIC P.A. (NPI 1639791932), doing business as Green Lake Chiropractic Center, is a healthcare organization registered as a chiropractor in Spicer, Minnesota and active in the NPI registry since May 2020. The organization lists Zachary Leland Peterson, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Peterson Wellness Clinic P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Peterson Wellness Clinic P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Peterson Wellness Clinic P.A.'s NPI number?
The NPI number for Peterson Wellness Clinic P.A. is 1639791932. It was assigned to this organization in the NPPES registry on May 11, 2020. The provider is doing business as Green Lake Chiropractic Center.
Where is Peterson Wellness Clinic P.A. located?
Peterson Wellness Clinic P.A. is located at 194 Progress Way, Spicer, MN 56288. The listed phone number is (320) 583-5839.
What is Peterson Wellness Clinic P.A.'s specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Peterson Wellness Clinic P.A. enrolled in Medicare?
Yes. Peterson Wellness Clinic P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peterson Wellness Clinic P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Peterson Wellness 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Peterson Wellness Clinic P.A. accept?
Health plans from HealthPartners list Peterson Wellness 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 Peterson Wellness Clinic P.A. was last updated on May 11, 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.
# Peterson Wellness Clinic P.a. · NPI 1639791932
Chiropractor organization in Spicer, Minnesota. Organization record, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1639791932 (Entity type: Organization)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** Green Lake Chiropractic Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Zachary Peterson, CHIROPRACTOR
## Practice location
- **Address:** 194 PROGRESS WAY, Spicer, MN 56288-5000
- **Phone:** (320) 583-5839
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639791932) · Data from the CMS NPPES public registry.