MAGDALENE KOETHE DCC
NPI 1760195077
Chiropractor in Edina, MN

Active since January 02, 2023Accepts Medicare Assignment
5250 W 74TH ST STE 8, EDINA, MN 55439(962) 479-0743 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2025, Jan 2, 2023 (2 updates tracked since 2023).

About Magdalene Koethe Dcc NPPES

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

MAGDALENE KOETHE DCC (NPI 1760195077) is an individual chiropractor in Edina, Minnesota, licensed in Minnesota (7057) and active in the NPI registry since January 2023. She is a graduate of Northwestern College Of Chiropractic (2022).

NPPES Registry Identity

NPI1760195077
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMAGDALENE KOETHECredential: DCC
Location Address5250 W 74TH ST STE 8Edina, MN 55439-2229
Mailing Address5250 W 74th St Ste 8Edina, MN 55439-2229
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 2022
Enumeration DateJanuary 2, 2023
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1760195077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 7057
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.
5250 W 74TH ST STE 8, Edina, MN 55439

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

Magdalene Koethe Dcc 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 ID9537634670
PECOS Enrollment IDI20260407001530

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.

Physical Therapist
5250 W 74TH ST STE 8
EDINA, MN 55439
Chiropractor
5250 W 74TH ST STE 8
EDINA, MN 55439
Chiropractor (Sports Physician)
5250 W 74TH ST STE 8
EDINA, MN 55439
Chiropractor
5250 W 74TH ST STE 8
EDINA, MN 55439
Chiropractor
5250 W 74TH ST STE 8
EDINA, MN 55439
Chiropractor (Sports Physician)
5250 W 74TH ST STE 8
EDINA, MN 55439

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 Magdalene Koethe's NPI number?

The NPI number for Magdalene Koethe is 1760195077. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Magdalene Koethe located?

Magdalene Koethe practices at 5250 W 74th St Ste 8, Edina, MN 55439. The listed phone number is (962) 479-0743.

What is Magdalene Koethe's specialty?

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

Is Magdalene Koethe enrolled in Medicare?

Yes. Magdalene Koethe 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.

When was this NPI record last updated?

The NPPES record for Magdalene Koethe was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.