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MR. MARK R MICHAELSEN DC
NPI 1902832686
Chiropractor in Tyler, TX

Active since June 24, 2006Accepts Medicare Assignment
645 S BROADWAY AVE, SUITE 1, TYLER, TX 75701(903) 593-5200(903) 535-9412 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark R Michaelsen Dc NPPES

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

MR. MARK R MICHAELSEN DC (NPI 1902832686) is an individual chiropractor in Tyler, Texas, licensed in Texas (5712) and active in the NPI registry since June 2006. He is a graduate of Palmer College Chiropractic - Davenport (1990).

NPPES Registry Identity

NPI1902832686
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. MARK R MICHAELSENCredential: DC
Location Address645 S BROADWAY AVE, SUITE 1Tyler, TX 75701-1676
Mailing Address645 S Broadway Ave, Suite 1Tyler, TX 75701-1676 · (903) 593-5200 · Fax (903) 535-9412
Phone(903) 593-5200
Fax(903) 535-9412
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1990
Enumeration DateJune 24, 2006
Last NPPES UpdateApril 29, 2013
✔ NPI 1902832686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 5712
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.
645 S BROADWAY AVE, Tyler, TX 75701
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Other Identifiers 3

Medicaid039541001TX
Medicare UPINU2270
Medicare ID-Type UnspecifiedH42E

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Providence Health Plan and more.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

Mr. Mark R Michaelsen Dc 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 ID4385806280
PECOS Enrollment IDI20131021001480

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, 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.
63 services22 patients
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.
50 services13 patients

Other Providers at the Same Location NPPES

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

MICHAELSEN CHIROPRACTIC CENTER, P.C.
Chiropractor
645 S BROADWAY AVE, SUITE 1
TYLER, TX 75701
Smith County (903) 593-5200

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 Mark Michaelsen's NPI number?

The NPI number for Mark Michaelsen is 1902832686. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Mark Michaelsen located?

Mark Michaelsen practices at 645 S Broadway Ave Suite 1, Tyler, TX 75701. The listed phone number is (903) 593-5200.

What is Mark Michaelsen's specialty?

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

Is Mark Michaelsen enrolled in Medicare?

Yes. Mark Michaelsen 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 Mark Michaelsen accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Providence Health Plan and UnitedHealthcare list Mark Michaelsen 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 Mark Michaelsen was last updated on April 29, 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.