KURTIS CARL WICKLUND (DC) – Chiropractor, NPI 1619914744

KURTIS CARL WICKLUND (DC) is a healthcare provider. based in Brainerd, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2815 (MN). The NPI Number for KURTIS CARL WICKLUND (DC) is 1619914744

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KURTIS CARL WICKLUND (DC)
NPI
1619914744
Phone
(218) 829-5380
Address
623 MADISON ST
Enumeration Date
31 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
2188295380
Graduation Year
1990 (36 years ago)
PAC ID
4284646415
Group Practice PAC ID
6901212372
Professional Enrollment ID
I20060706000358
Address ID
MN564014518BR623XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for KURTIS CARL WICKLUND (DC)

  • 623, Madison Street, Brainerd, Crow Wing County, Minnesota, 56401, United States

    BRAINERD, MN 564014518

    Phone: (218) 829-5380

    Fax: (218) 825-0972

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2006-07-06

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
I20060706000358IChiropracticMNTBD

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 regions35257$0
98940Chiropractic manipulative treatment, 1-2 spinal regions7419$0
View full utilization report →

Insurance plans in this area (ZIP 56401)

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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: 6901212372View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Can I use this page to confirm KURTIS CARL WICKLUND (DC)'s NPI?
Yes. KURTIS CARL WICKLUND (DC) is listed with NPI 1619914744 in the public NPI dataset.
Is KURTIS CARL WICKLUND (DC) still practicing?
KURTIS CARL WICKLUND (DC) is currently listed as active in the public NPI registry.
What healthcare role does KURTIS CARL WICKLUND (DC) hold?
Scheduling teams often label KURTIS CARL WICKLUND (DC) under Chiropractor. Clinical services aligned with this taxonomy classification.
What area does KURTIS CARL WICKLUND (DC) serve?
KURTIS CARL WICKLUND (DC)'s listing highlights Brainerd, Minnesota; more addresses can appear in NPPES.
Is the information about KURTIS CARL WICKLUND (DC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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