PRIOR LAKE SPINE
NPI 1700163573
Chiropractor in Prior Lake, MN

Active since November 08, 2011
16197 MAIN AVE SE, PRIOR LAKE, MN 55372(952) 226-5100(952) 516-5240 Get Directions Write a Review

NPPES record last updated: July 27, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prior Lake Spine NPPES

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

PRIOR LAKE SPINE (NPI 1700163573) is a healthcare organization registered as a chiropractor in Prior Lake, Minnesota and active in the NPI registry since November 2011. The organization lists Joshua R Rickert, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1700163573
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRIOR LAKE SPINE HEALTH & INJURY CENTER, PLLC
Location Address16197 MAIN AVE SEPrior Lake, MN 55372-1704
Mailing Address16197 Main Ave SePrior Lake, MN 55372-1704 · (952) 226-5100 · Fax (952) 516-5240
Fax(952) 516-5240
Organization SubpartNo
Authorized OfficialJoshua R RickertOwner/ceo · (952) 226-5100
Enumeration DateNovember 8, 2011
Last NPPES UpdateJuly 27, 2012
✔ NPI 1700163573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5230
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.
16197 MAIN AVE SE, Prior Lake, MN 55372

Other Names 1

Doing Business AsPrior Lake Spine

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prior Lake Spine 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 Prior Lake Spine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1932333176
16197 MAIN AVE SE
Prior Lake, MN 55372
(952) 226-5100
✔ 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 Prior Lake Spine Health & Injury Center, PLLC's NPI number?

The NPI number for Prior Lake Spine Health & Injury Center, PLLC is 1700163573. It was assigned to this organization in the NPPES registry on November 8, 2011. The provider is doing business as Prior Lake Spine.

Where is Prior Lake Spine Health & Injury Center, PLLC located?

Prior Lake Spine Health & Injury Center, PLLC is located at 16197 Main Ave SE, Prior Lake, MN 55372. The listed phone number is (952) 226-5100.

What is Prior Lake Spine Health & Injury Center, PLLC's specialty?

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

Is Prior Lake Spine Health & Injury Center, PLLC enrolled in Medicare?

Yes. Prior Lake Spine Health & Injury Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prior Lake Spine Health & Injury Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Prior Lake Spine Health & Injury Center, PLLC. 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 Prior Lake Spine Health & Injury Center, PLLC accept?

Health plans from HealthPartners list Prior Lake Spine Health & Injury Center, PLLC 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 Prior Lake Spine Health & Injury Center, PLLC was last updated on July 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.