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WILLOW CREEK CHIROPRACTIC, PA
NPI 1831278449
Chiropractor in Shoreview, MN

Active since November 03, 2006
5922 LEXINGTON AVE N, SHOREVIEW, MN 55126(651) 784-3396(651) 784-7247 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willow Creek Chiropractic, Pa NPPES

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

WILLOW CREEK CHIROPRACTIC, PA (NPI 1831278449) is a healthcare organization registered as a chiropractor in Shoreview, Minnesota and active in the NPI registry since November 2006. The organization lists Michael Douglas Head, President, as its authorized official.

NPPES Registry Identity

NPI1831278449
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILLOW CREEK CHIROPRACTIC, PA
Location Address5922 LEXINGTON AVE NShoreview, MN 55126-5604
Mailing Address5922 Lexington Ave NShoreview, MN 55126-5604 · (651) 784-3396 · Fax (651) 784-7247
Phone(651) 784-3396
Fax(651) 784-7247
Organization SubpartNo
Authorized OfficialMichael Douglas HeadPresident · (651) 784-3396
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 27, 2008
✔ NPI 1831278449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3281
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.
5922 LEXINGTON AVE N, Shoreview, MN 55126
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Other Identifiers 9

Other35923HEMN · Bcbs Individ Provider Num
Medicaid7711328-00MN
Other4400056MN · Medica
Other79279MN · Upin For Healthpartners
Medicare ID-Type Unspecified350002102Medicare
Medicare PINC04660MN
Other231934MN · Ccmi Id
Other35P22WIMN · Bcbc Of Mn Clinic Id
Medicare UPINU58479

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

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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)

Willow Creek Chiropractic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Willow Creek Chiropractic, PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Lynnsey Jepsen, D.C.
Chiropractic
NPI 1801025044
13635 NORTHDALE BLVD
Rogers, MN 55374
(612) 968-7200
20 mi
Andrew Krueger, D.C.
Chiropractic
NPI 1205234598
7656 DESIGN RD
Baxter, MN 56425
(218) 454-9355
✔ Accepts Medicare100 mi

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 Willow Creek Chiropractic, PA's NPI number?

The NPI number for Willow Creek Chiropractic, PA is 1831278449. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Willow Creek Chiropractic, PA located?

Willow Creek Chiropractic, PA is located at 5922 Lexington Ave N, Shoreview, MN 55126. The listed phone number is (651) 784-3396.

What is Willow Creek Chiropractic, PA's specialty?

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

Is Willow Creek Chiropractic, PA enrolled in Medicare?

Yes. Willow Creek Chiropractic, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willow Creek Chiropractic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Willow Creek Chiropractic, PA. 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 Willow Creek Chiropractic, PA accept?

Health plans from HealthPartners list Willow Creek Chiropractic, PA 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 Willow Creek Chiropractic, PA was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.