Park Performance Chiropractic, PLC
NPI 1417358490ActiveOrganization· Chiropractor· Park Rapids, MN
Chiropractor in Park Rapids, Minnesota, registered in NPPES in September 2014. The authorized official on file is Jeremy John Nelson, D.C., CCSP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417358490 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2014 |
| Last updated in NPPES | Jul 20, 2023 |
| Certified by provider | Jul 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5635 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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