DR. MANDI LYNNE MIEDEMA (D.C.) – Chiropractor, NPI 1003056961

DR. MANDI LYNNE MIEDEMA (D.C.) is a healthcare provider. based in Falcon, Colorado. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 6600 (CO). The NPI Number for DR. MANDI LYNNE MIEDEMA (D.C.) is 1003056961

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANDI LYNNE MIEDEMA (D.C.)
NPI
1003056961
Phone
(701) 830-0431
Address
11605 MERIDIAN MARKET VW STE 142
Enumeration Date
4 March 2009
Last Update Date
15 November 2010

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7016603033
Graduation Year
2008 (18 years ago)
PAC ID
5193904399
Group Practice PAC ID
4284966425
Professional Enrollment ID
I20200322000193
Address ID
ND584014922JA1107XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

766 CHIROPRACTIC in CO

Loading map...

Provider Addresses for DR. MANDI LYNNE MIEDEMA (D.C.)

  • Meridian Market Vw, Falcon, El Paso County, Colorado, 80831-8127, United States

    FALCON, CO 808318238

    Phone: (701) 830-0431

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200322000193IChiropracticNDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions86365$0
View full utilization report →

Insurance plans in this area (ZIP 80831)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284966425View full group profile
NameSpecialtyState
C H I R O P R A C T I CCO
C H I R O P R A C T I CND

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DR. MANDI LYNNE MIEDEMA (D.C.) for billing?
Administrative and clinical systems typically use NPI 1003056961 for DR. MANDI LYNNE MIEDEMA (D.C.).
Does the public listing show DR. MANDI LYNNE MIEDEMA (D.C.) as active?
DR. MANDI LYNNE MIEDEMA (D.C.)'s NPI record reflects an active status in NPPES.
What services align with DR. MANDI LYNNE MIEDEMA (D.C.)'s listing?
DR. MANDI LYNNE MIEDEMA (D.C.)'s public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MANDI LYNNE MIEDEMA (D.C.) in Falcon, Colorado?
For routing, start with Falcon, Colorado for DR. MANDI LYNNE MIEDEMA (D.C.), then verify phone and hours locally.
Who maintains DR. MANDI LYNNE MIEDEMA (D.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

7671, Mclaughlin Road, Courtyards at Woodmen Hills North, Falcon, El Paso County, Colorado, 80831, United States
NPI: 1760580997
7671, Mclaughlin Road, Courtyards at Woodmen Hills North, Falcon, El Paso County, Colorado, 80831, United States
NPI: 1922106988
11605 MERIDIAN MARKET VW STE 142
NPI: 1528107356
14755 F EAST HWY 24
NPI: 1245459643
14755 F EAST HWY 24
NPI: 1326267725
Meridian Market Vw, Falcon, El Paso County, Colorado, 80831-8127, United States
NPI: 1285964593
11605 MERIDIAN MARKET VW
NPI: 1306149190
12511 MEDINAH RD
NPI: 1245592153