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SAMANTHA KIECKER DC
NPI 1811265903
Chiropractor in West Fargo, ND

Active since December 05, 2011
1207 PRAIRIE PKWY, WEST FARGO, ND 58078(701) 492-0696(701) 492-0696 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha Kiecker Dc NPPES

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

SAMANTHA KIECKER DC (NPI 1811265903) is an individual chiropractor in West Fargo, North Dakota, licensed in North Dakota (894) and active in the NPI registry since December 2011. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1811265903
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameSAMANTHA KIECKERCredential: DC
Location Address1207 PRAIRIE PKWYWest Fargo, ND 58078
Mailing Address1207 Prairie PkwyWest Fargo, ND 58078-3145 · (701) 492-0696 · Fax (701) 492-0696
Phone(701) 492-0696
Fax(701) 492-0696
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 5, 2011
Last NPPES UpdateJuly 24, 2014
✔ NPI 1811265903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 894
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.
1207 PRAIRIE PKWY, West Fargo, ND 58078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, 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 (PECOS)

Samantha Kiecker Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789851841
PECOS Enrollment IDI20120113000149

Medicare Billing Reassignment

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

Clinic Fhsc PC
Same address
Clinic/Center
1207 PRAIRIE PKWY
West Fargo, ND 58078
  • Reassigned Medicare billing, North Dakota enrollment
  • 4 clinicians in this Medicare group
NPI 1023286614 (701) 492-0696

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 2

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.
133 services23 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
74 services17 patients

Other Providers at the Same Location NPPES 13

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

JOHN GREGORY DYE O.D.
Optometrist
1207 PRAIRIE PKWY
WEST FARGO, ND 58078
Cass County (701) 282-2020
CLINIC FHSC PC
Clinic/Center
1207 PRAIRIE PKWY
WEST FARGO, ND 58078
Cass County (701) 492-0696
JAMI DEAL OTRL
Occupational Therapist
1207 PRAIRIE PKWY, STE. A
WEST FARGO, ND 58078
Cass County (701) 356-0062
DR. RYAN THOMAS JENKINS D.C.
Chiropractor
1207 PRAIRIE PKWY
WEST FARGO, ND 58078
Cass County (701) 492-0696
KRISTIN MURCH MOTR/L
Occupational Therapist
1207 PRAIRIE PKWY, SUITE A
WEST FARGO, ND 58078
Cass County (701) 356-0062
DANIELLE HELGESON THERAPY
Speech-Language Pathologist
1207 PRAIRIE PKWY, SUITE A
WEST FARGO, ND 58078
Cass County (701) 356-0062
LEAPS AND BOUNDS SPEECH SERVICES, INC.
Speech-Language Pathologist
1207 PRAIRIE PKWY, STE. A
WEST FARGO, ND 58078
Cass County (701) 356-0062
MAUREEN TOMASZEWSKI PT
Physical Therapist
1207 PRAIRIE PKWY, SUITE A
WEST FARGO, ND 58078
Cass County (701) 356-0062

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 Samantha Kiecker's NPI number?

The NPI number for Samantha Kiecker is 1811265903. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Samantha Kiecker located?

Samantha Kiecker practices at 1207 Prairie Pkwy, West Fargo, ND 58078. The listed phone number is (701) 492-0696.

What is Samantha Kiecker's specialty?

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

Is Samantha Kiecker enrolled in Medicare?

Yes. Samantha Kiecker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Kiecker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kiecker reassigns Medicare benefits to Clinic Fhsc PC (West Fargo, ND). 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 Samantha Kiecker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Kiecker accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Samantha Kiecker 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 Samantha Kiecker was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.