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WILDERNESS WELLNESS CHIROPRACTIC LLC
NPI 1649778937
Chiropractor in Duluth, MN

Active since February 01, 2018
224 E CENTRAL ENTRANCE STE C, DULUTH, MN 55811(218) 481-7330(218) 481-7432 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilderness Wellness Chiropractic Llc NPPES

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

WILDERNESS WELLNESS CHIROPRACTIC LLC (NPI 1649778937) is a healthcare organization registered as a chiropractor in Duluth, Minnesota and active in the NPI registry since February 2018. The organization lists Kyle Severson, Chief Manager, as its authorized official.

NPPES Registry Identity

NPI1649778937
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILDERNESS WELLNESS CHIROPRACTIC LLC
Location Address224 E CENTRAL ENTRANCE STE CDuluth, MN 55811-5518
Mailing Address224 E Central Entrance Ste CDuluth, MN 55811-5518 · (218) 481-7330 · Fax (218) 481-7432
Phone(218) 481-7330
Fax(218) 481-7432
Organization SubpartNo
Authorized OfficialKyle SeversonChief Manager · (218) 481-7330
Enumeration DateFebruary 1, 2018
✔ NPI 1649778937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6436
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.
224 E CENTRAL ENTRANCE STE C, Duluth, MN 55811
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilderness Wellness Chiropractic Llc 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 Wilderness Wellness Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Severson, DC
Chiropractic
NPI 1942708235
224 E CENTRAL ENTRANCE STE C
Duluth, MN 55811
(218) 481-7330
✔ Accepts MedicareSame address

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 Wilderness Wellness Chiropractic LLC's NPI number?

The NPI number for Wilderness Wellness Chiropractic LLC is 1649778937. It was assigned to this organization in the NPPES registry on February 1, 2018.

Where is Wilderness Wellness Chiropractic LLC located?

Wilderness Wellness Chiropractic LLC is located at 224 E Central Entrance Ste C, Duluth, MN 55811. The listed phone number is (218) 481-7330.

What is Wilderness Wellness Chiropractic LLC's specialty?

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

Is Wilderness Wellness Chiropractic LLC enrolled in Medicare?

Yes. Wilderness Wellness Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilderness Wellness Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wilderness Wellness Chiropractic LLC. 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.

When was this NPI record last updated?

The NPPES record for Wilderness Wellness Chiropractic LLC was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.