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KEITH EDWARD PUDWILL DC
NPI 1730958752
Chiropractor in Sartell, MN

Active since January 02, 2024Accepts Medicare Assignment
2380 TROOP DR UNIT 201, SARTELL, MN 56377(320) 255-0961(320) 258-4001 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2024, Jun 4, 2024, Jan 2, 2024 (3 updates tracked since 2024).

About Keith Edward Pudwill Dc NPPES

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

KEITH EDWARD PUDWILL DC (NPI 1730958752) is an individual chiropractor in Sartell, Minnesota, licensed in Minnesota (7176) and active in the NPI registry since January 2024. He is a graduate of Northwestern College Of Chiropractic (2023).

NPPES Registry Identity

NPI1730958752
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEITH EDWARD PUDWILLCredential: DC
Location Address2380 TROOP DR UNIT 201Sartell, MN 56377-4637
Mailing Address2380 Troop Dr Unit 201Sartell, MN 56377-4637 · (320) 255-0961 · Fax (320) 258-4001
Phone(320) 255-0961
Fax(320) 258-4001
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2023
Enumeration DateJanuary 2, 2024
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1730958752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 7176
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.
2380 TROOP DR UNIT 201, Sartell, MN 56377
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Edward Pudwill Dc 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 ID9133563307
PECOS Enrollment IDI20240516003325

Medicare Billing Reassignment

Medicare enrollment records show Keith Pudwill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractic Performance Center, PA
Same address
Medical Specialty
2380 TROOP DRIVE, SUTIE 201
Sartell, MN 56377
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1144429283 (320) 255-0961

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
62 services15 patients

Other Providers at the Same Location NPPES 6

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

LYDIA HELEN FRUTH LPCC
Counselor (Professional)
2380 TROOP DR UNIT 201
SARTELL, MN 56377
Stearns County (763) 633-5111
AMANDA BZDOK CMT
Massage Therapist
2380 TROOP DR UNIT 201
SARTELL, MN 56377
Stearns County (320) 309-6343
DR. ALYSSA J OHMAN DC
Chiropractor
2380 TROOP DR UNIT 201
SARTELL, MN 56377
Stearns County (320) 255-0961
HANDS AND HEART CHIROPRACTIC, P.A.
Chiropractor
2380 TROOP DR UNIT 201
SARTELL, MN 56377
Stearns County (612) 460-5674
PINECONE VISION THERAPY CENTER
Optometrist (Vision Therapy)
2380 TROOP DR UNIT 201
SARTELL, MN 56377
Stearns County (320) 258-3915
SAMANTHA SHAND
Chiropractor
2380 TROOP DR UNIT 201
SARTELL, MN 56377
Stearns County (320) 255-0961

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 Keith Pudwill's NPI number?

The NPI number for Keith Pudwill is 1730958752. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Where is Keith Pudwill located?

Keith Pudwill practices at 2380 Troop Dr Unit 201, Sartell, MN 56377. The listed phone number is (320) 255-0961.

What is Keith Pudwill's specialty?

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

Is Keith Pudwill enrolled in Medicare?

Yes. Keith Pudwill 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.

Which organization bills Medicare for Keith Pudwill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Pudwill reassigns Medicare benefits to Chiropractic Performance Center, PA (Sartell, MN). The 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 Keith Pudwill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Pudwill accept?

Health plans from HealthPartners and Sanford Health Plan list Keith Pudwill 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 Keith Pudwill was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.