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DR. GREGORY JOSEPH PETERSEN D.C.
NPI 1851631907
Chiropractor in Maple Grove, MN

Active since February 27, 2013Accepts Medicare Assignment
9505 BLACKOAKS LN N, MAPLE GROVE, MN 55311(763) 420-4111(763) 420-4145 Get Directions Write a Review

NPPES record last updated: February 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Joseph Petersen D.c. NPPES

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

DR. GREGORY JOSEPH PETERSEN D.C. (NPI 1851631907) is an individual chiropractor in Maple Grove, Minnesota, licensed in Minnesota (5767) and active in the NPI registry since February 2013. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1851631907
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GREGORY JOSEPH PETERSENCredential: D.C.
Location Address9505 BLACKOAKS LN NMaple Grove, MN 55311-1229
Mailing Address9505 Blackoaks Ln NMaple Grove, MN 55311-1229 · (763) 420-4111 · Fax (763) 420-4145
Phone(763) 420-4111
Fax(763) 420-4145
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 27, 2013
✔ NPI 1851631907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5767
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.
9505 BLACKOAKS LN N, Maple Grove, MN 55311
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Accepted Insurance

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

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

Dr. Gregory Joseph Petersen D.c. 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 ID6507090024
PECOS Enrollment IDI20131016000053

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.
169 services25 patients

Other Providers at the Same Location NPPES 3

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

DR. JONATHAN GOGOLAKIS DPT
Physical Therapist
9505 BLACKOAKS LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 420-4111
JACOB FIXELL DPT
Physical Therapist
9505 BLACKOAKS LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 691-4117
DR. CONNOR MICHAEL SCHAD PT, DPT
Physical Therapist
9505 BLACKOAKS LN N
MAPLE GROVE, MN 55311
Hennepin County (763) 420-4111

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 Gregory Petersen's NPI number?

The NPI number for Gregory Petersen is 1851631907. It was assigned to this individual provider in the NPPES registry on February 27, 2013.

Where is Gregory Petersen located?

Gregory Petersen practices at 9505 Blackoaks Ln N, Maple Grove, MN 55311. The listed phone number is (763) 420-4111.

What is Gregory Petersen's specialty?

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

Is Gregory Petersen enrolled in Medicare?

Yes. Gregory Petersen 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.

What insurance does Gregory Petersen accept?

Health plans from HealthPartners and Medica list Gregory Petersen 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 Gregory Petersen was last updated on February 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.