MCKENSIE ROSE GRINA DC
NPI 1912503947
Chiropractor in Maple Grove, MN
About Mckensie Rose Grina Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENSIE ROSE GRINA DC (NPI 1912503947) is an individual chiropractor in Maple Grove, Minnesota, licensed in Minnesota (6770) and active in the NPI registry since December 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mckensie Rose Grina Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mckensie Grina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prior Lake, MN 55372
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mckensie Grina's NPI number?
The NPI number for Mckensie Grina is 1912503947. It was assigned to this individual provider in the NPPES registry on December 6, 2020.
Where is Mckensie Grina located?
Mckensie Grina practices at 15507 Grove Cir N, Maple Grove, MN 55369. The listed phone number is (612) 516-3090.
What is Mckensie Grina's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Mckensie Grina enrolled in Medicare?
Yes. Mckensie Grina is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mckensie Grina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckensie Grina reassigns Medicare benefits to Pivotal Family Chiropractic LLC (Prior 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 Mckensie Grina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mckensie Grina was last updated on December 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mckensie Rose Grina, DC · NPI 1912503947
Chiropractor provider in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since December 6, 2020.
## Identity
- **NPI:** 1912503947 (Entity type: Individual)
- **Enumerated:** December 6, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6770 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15507 GROVE CIR N, Maple Grove, MN 55369-4488
- **Phone:** (612) 516-3090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Pivotal Family Chiropractic LLC (NPI 1013591973, Prior Lake, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1912503947) · Data from the CMS NPPES public registry.