MISS AMBER NICOLE GENETZKY (D.C.) – Chiropractor, NPI 1730384058

MISS AMBER NICOLE GENETZKY (D.C.) is a healthcare provider. based in Arden hills, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 4948 (MN). The NPI Number for MISS AMBER NICOLE GENETZKY (D.C.) is 1730384058

Main info

Female
19 Years Of Experience
Name
MISS AMBER NICOLE GENETZKY (D.C.)
NPI
1730384058
Phone
(651) 484-8448
Address
4061 LEXINGTON AVE N
Enumeration Date
18 June 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
6512099906
Graduation Year
2007 (19 years ago)
PAC ID
2264739788
Professional Enrollment ID
I20160329001815
Address ID
MN551222357EA4490XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for MISS AMBER NICOLE GENETZKY (D.C.)

  • 4061, Lexington Avenue North, Arden Hills, Ramsey County, Minnesota, 55126, United States

    ARDEN HILLS, MN 551262979

    Phone: (651) 484-8448

    Type: Location

  • Bayard Avenue, Saint Paul, Ramsey County, Minnesota, 55102, United States

    SAINT PAUL, MN 551161231

    Phone: (612) 799-4440

    Type: Mailing

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: 2016-03-29

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
I20160329001815IChiropracticMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55126)

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Reviews

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Frequently asked questions

Can I use this page to confirm MISS AMBER NICOLE GENETZKY (D.C.)'s NPI?
Yes. MISS AMBER NICOLE GENETZKY (D.C.) is listed with NPI 1730384058 in the public NPI dataset.
Does CMS list MISS AMBER NICOLE GENETZKY (D.C.) as active?
Yes — MISS AMBER NICOLE GENETZKY (D.C.) is active in the NPI listing used on this page.
What taxonomy line describes MISS AMBER NICOLE GENETZKY (D.C.)?
For research purposes, treat MISS AMBER NICOLE GENETZKY (D.C.) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Where is MISS AMBER NICOLE GENETZKY (D.C.) based?
MISS AMBER NICOLE GENETZKY (D.C.) is tied to Arden Hills, Minnesota in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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