DR. TY EVAN PAULICK D.C.
NPI 1902071285
Chiropractor in White Bear Lake, MN
About Dr. Ty Evan Paulick D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TY EVAN PAULICK D.C. (NPI 1902071285) is an individual chiropractor in White Bear Lake, Minnesota, licensed in Minnesota (5105) and active in the NPI registry since April 2008. He is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Dr. Ty Evan Paulick 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.
Medicare Billing Reassignment
Medicare enrollment records show Ty Paulick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Bear Lake, MN 55110
- Reassigned Medicare billing, Minnesota enrollment
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE BEAR LAKE, MN 55110
WHITE BEAR LAKE, MN 55110
WHITE BEAR LAKE, MN 55110
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 Ty Paulick's NPI number?
The NPI number for Ty Paulick is 1902071285. It was assigned to this individual provider in the NPPES registry on April 28, 2008.
Where is Ty Paulick located?
Ty Paulick practices at 4801 Highway 61 N Suite 105, White Bear Lake, MN 55110. The listed phone number is (651) 762-5433.
What is Ty Paulick's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ty Paulick enrolled in Medicare?
Yes. Ty Paulick 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 Ty Paulick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ty Paulick reassigns Medicare benefits to Healthsource Of White Bear Lake, PLLC (White Bear Lake, 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 Ty Paulick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ty Paulick accept?
Health plans from HealthPartners list Ty Paulick 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 Ty Paulick was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Ty Evan Paulick, D.C. · NPI 1902071285
Chiropractor provider in White Bear Lake, Minnesota. Individual provider, active in the CMS NPPES registry since April 28, 2008.
## Identity
- **NPI:** 1902071285 (Entity type: Individual)
- **Enumerated:** April 28, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5105 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4801 HIGHWAY 61 N, SUITE 105, White Bear Lake, MN 55110-2737
- **Phone:** (651) 762-5433 · **Fax:** (651) 762-7504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Healthsource Of White Bear Lake, PLLC (NPI 1073767372, White Bear Lake, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** February 10, 2010
- **Other identifiers:** Medicaid 350004088 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1902071285) · Data from the CMS NPPES public registry.