DR. CASEY LEE PAULSEN (DC) – Chiropractor, NPI 1871597351

DR. CASEY LEE PAULSEN (DC) is a healthcare provider. based in Plymouth, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 4347 (MN). The NPI Number for DR. CASEY LEE PAULSEN (DC) is 1871597351

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY LEE PAULSEN (DC)
NPI
1871597351
Phone
(763) 536-1112
Address
4345 NATHAN LN N
Enumeration Date
13 June 2005
Deactivation Date
16 March 2006
Reactivation Date
30 March 2006
Last Update Date
24 September 2008

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7635361112
Graduation Year
2002 (24 years ago)
PAC ID
8426062951
Group Practice PAC ID
4284648718
Professional Enrollment ID
I20060203000250
Address ID
MN554411702PL4205XNXXX401
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 DR. CASEY LEE PAULSEN (DC)

  • Caribou Coffee, 4345, Nathan Lane North, Plymouth, Hennepin County, Minnesota, 55442, United States

    SUITE F

    PLYMOUTH, MN 554424522

    Phone: (763) 536-1112

    Fax: (763) 536-0471

    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: 2006-02-03

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
I20060203000250IChiropracticMNTBD

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 55442)

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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: 4284648718View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
-MN

Reviews

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Frequently asked questions

What is the standard ID for DR. CASEY LEE PAULSEN (DC) in the U.S.?
In the U.S., DR. CASEY LEE PAULSEN (DC) is identified by NPI 1871597351.
Should I treat DR. CASEY LEE PAULSEN (DC) as an active provider?
Patients and plans typically see DR. CASEY LEE PAULSEN (DC) as active in the national extract.
What does the directory say DR. CASEY LEE PAULSEN (DC) does?
Insurance directories may phrase it differently, but here DR. CASEY LEE PAULSEN (DC) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
Can patients visit DR. CASEY LEE PAULSEN (DC) in Plymouth, Minnesota?
For routing, start with Plymouth, Minnesota for DR. CASEY LEE PAULSEN (DC), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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