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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMANTHA ROSE ROTHBAUER DC
NPI 1932692902
Chiropractor in Blaine, MN

Active since June 13, 2018
10950 CLUB WEST PKWY STE 190, BLAINE, MN 55449(763) 400-4940(763) 634-8580 Get Directions Write a Review

NPPES record last updated: October 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 2, 2019, Jun 13, 2018 (2 updates tracked since 2018).

About Dr. Samantha Rose Rothbauer Dc NPPES

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

DR. SAMANTHA ROSE ROTHBAUER DC (NPI 1932692902) is an individual chiropractor in Blaine, Minnesota, licensed in Washington (CH60842943) and active in the NPI registry since June 2018. She is a graduate of Northwestern College Of Chiropractic (2018).

NPPES Registry Identity

NPI1932692902
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMANTHA ROSE ROTHBAUERCredential: DC
Location Address10950 CLUB WEST PKWY STE 190Blaine, MN 55449-3673
Mailing Address10950 Club West Pkwy Ste 190Blaine, MN 55449-3673 · (763) 400-4940 · Fax (763) 634-8580
Phone(763) 400-4940
Fax(763) 634-8580
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2018
Enumeration DateJune 13, 2018
Last NPPES UpdateOctober 25, 20262 updates tracked since enumeration
NPPES CertifiedOctober 25, 2026
✔ NPI 1932692902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH60842943
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.
10950 CLUB WEST PKWY STE 190, Blaine, MN 55449
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Samantha Rose Kreyer

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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. Samantha Rose Rothbauer 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 ID3274876990
PECOS Enrollment IDI20190521003168

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Rothbauer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Club West Chiropractic PA
Same address
Chiropractor
10950 CLUB WEST PKWY STE 190
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1427447432 (763) 400-4940
Hopkins Health And Wellness Center PA
19 mi
Chiropractor
15 8TH AVE N
Hopkins, MN 55343
  • Reassigned Medicare billing, Minnesota enrollment
  • 28 clinicians in this Medicare group
NPI 1396932067 (952) 933-5085

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

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.
45 services13 patients

Other Providers at the Same Location NPPES 5

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

DR. RYAN WILLIAM WADDELL D.C.
Chiropractor
10950 CLUB WEST PKWY STE 190
BLAINE, MN 55449
Anoka County (763) 400-4940
ALYCEAN MARYRAE BERGH D.C.
Chiropractor
10950 CLUB WEST PKWY STE 190
BLAINE, MN 55449
Anoka County (763) 400-4940
CLUB WEST CHIROPRACTIC PA
Chiropractor
10950 CLUB WEST PKWY STE 190
BLAINE, MN 55449
Anoka County (763) 400-4940
VILIAM M ZONG VANG
Chiropractor
10950 CLUB WEST PKWY STE 190
BLAINE, MN 55449
Anoka County (763) 400-4940
DANIEL BIELEFELD D.C.
Chiropractor
10950 CLUB WEST PKWY STE 190
BLAINE, MN 55449
Anoka County (763) 400-4940

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 Samantha Rothbauer's NPI number?

The NPI number for Samantha Rothbauer is 1932692902. It was assigned to this individual provider in the NPPES registry on June 13, 2018. The provider is also known as Miss Samantha Rose Kreyer.

Where is Samantha Rothbauer located?

Samantha Rothbauer practices at 10950 Club West Pkwy Ste 190, Blaine, MN 55449. The listed phone number is (763) 400-4940.

What is Samantha Rothbauer's specialty?

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

Is Samantha Rothbauer enrolled in Medicare?

Yes. Samantha Rothbauer 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 organizations bill Medicare for Samantha Rothbauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Rothbauer reassigns Medicare benefits to 2 organizations: Club West Chiropractic PA (Blaine, MN) and Hopkins Health And Wellness Center PA (Hopkins, MN). Each 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 Samantha Rothbauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Rothbauer accept?

Health plans from HealthPartners list Samantha Rothbauer 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 Samantha Rothbauer was last updated on October 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.