GREAT LAKES CHIROPRACTIC
NPI 1902308901
Chiropractor in Saint Michael, MN

Q: What is Great Lakes Chiropractic Of St. Michael PLLC Ltd's specialty?

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

Active since March 06, 2018

116 CENTRAL AVE E, SAINT MICHAEL, MN 55376(763) 515-6650 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Great Lakes Chiropractic NPPES

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

GREAT LAKES CHIROPRACTIC (NPI 1902308901) is a healthcare organization registered as a chiropractor in Saint Michael, Minnesota and active in the NPI registry since March 2018. The organization lists Kimberly Martin, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1902308901

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameGREAT LAKES CHIROPRACTIC OF ST. MICHAEL PLLC LTD

Location Address116 CENTRAL AVE ESaint Michael, MN 55376

Mailing Address116 Central Ave ESaint Michael, MN 55376-9511

Phone(763) 515-6650

Organization SubpartNo

Authorized OfficialKimberly MartinChiropractor/owner · (763) 515-6650

Enumeration DateMarch 6, 2018

Last NPPES UpdateMay 29, 2018

✔ NPI 1902308901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

116 CENTRAL AVE E, Saint Michael, MN 55376

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Other Names 1

Doing Business AsGreat Lakes Chiropractic

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)

Great Lakes Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Great Lakes Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Kimberly Martin, DC

Chiropractic

NPI 1649359027

116 CENTRAL AVE E
Saint Michael, MN 55376

(763) 515-6650

Same address

Victoria Nelson, D.C.

Chiropractic

NPI 1467998914

730 CLEVELAND AVE S
Saint Paul, MN 55116

(651) 699-8610

31 mi

David Anderson, DC

Chiropractic

NPI 1346913258

4401 EGAN DR
Savage, MN 55378

(952) 746-4162

36 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 Great Lakes Chiropractic Of St. Michael PLLC Ltd's NPI number?

The NPI number for Great Lakes Chiropractic Of St. Michael PLLC Ltd is 1902308901. It was assigned to this organization in the NPPES registry on March 6, 2018. The provider is doing business as Great Lakes Chiropractic.

Where is Great Lakes Chiropractic Of St. Michael PLLC Ltd located?

Great Lakes Chiropractic Of St. Michael PLLC Ltd is located at 116 Central Ave E, Saint Michael, MN 55376. The listed phone number is (763) 515-6650.

What is Great Lakes Chiropractic Of St. Michael PLLC Ltd's specialty?

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

Is Great Lakes Chiropractic Of St. Michael PLLC Ltd enrolled in Medicare?

Yes. Great Lakes Chiropractic Of St. Michael PLLC Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Chiropractic Of St. Michael PLLC Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Great Lakes Chiropractic Of St. Michael PLLC Ltd. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Great Lakes Chiropractic Of St. Michael PLLC Ltd accept?

Health plans from HealthPartners list Great Lakes Chiropractic Of St. Michael PLLC Ltd 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 Great Lakes Chiropractic Of St. Michael PLLC Ltd was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.