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DR. KRYSTLE E LIEBERMAN WALL DC, RD, LD, CBS LC
NPI 1699093021
Chiropractor in Golden Valley, MN

Active since May 10, 2010PECOS EnrolledAccepts Medicare Assignment
5801 DULUTH ST, SUITE 150, GOLDEN VALLEY, MN 55422(736) 541-1280(763) 541-1012 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Krystle E Lieberman Wall Dc, Rd, Ld, Cbs Lc NPPES

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

DR. KRYSTLE E LIEBERMAN WALL DC, RD, LD, CBS LC (NPI 1699093021) is an individual chiropractor in Golden Valley, Minnesota, licensed in Minnesota (5317) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Northwestern College Of Chiropractic (2009).

NPPES Registry Identity

NPI1699093021
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. KRYSTLE E LIEBERMAN WALLCredential: DC, RD, LD, CBS LC
Location Address5801 DULUTH ST, SUITE 150Golden Valley, MN 55422-3958
Mailing Address5801 Duluth St, Suite 150Golden Valley, MN 55422-3958 · (736) 541-1280 · Fax (763) 541-1012
Phone(736) 541-1280
Fax(763) 541-1012
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2009
Enumeration DateMay 10, 2010
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1699093021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5317
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.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 2716 (MN)
Also ListedAcupuncturistTaxonomy 171100000X · License 876 (MN)
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X
5801 DULUTH ST, Golden Valley, MN 55422
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Other Names 1

Former Name (1)Dr. Krystle E Lieberman Dc, Rd, Ld

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Krystle E Lieberman Wall Dc, Rd, Ld, Cbs Lc 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 ID4385815240
PECOS Enrollment IDI20110926000414
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

DR. JASON MICHAEL FENSKE D.C.
Chiropractor
5801 DULUTH ST, SUITE 150
GOLDEN VALLEY, MN 55422
Hennepin County (763) 541-1280

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 Krystle Wall's NPI number?

The NPI number for Krystle Wall is 1699093021. It was assigned to this individual provider in the NPPES registry on May 10, 2010. The provider is also known as Dr. Krystle E Lieberman Dc, Rd, Ld.

Where is Krystle Wall located?

Krystle Wall practices at 5801 Duluth St Suite 150, Golden Valley, MN 55422. The listed phone number is (736) 541-1280.

What is Krystle Wall's specialty?

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

Is Krystle Wall enrolled in Medicare?

Yes. Krystle Wall 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 Krystle Wall accept?

Health plans from Medica list Krystle Wall 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 Krystle Wall was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.