Redbird Wellness – Chiropractor, NPI 1679534812

Redbird Wellness is a healthcare provider. based in Hopkins, Minnesota. specializing in Chiropractor. The NPI Number for Redbird Wellness is 1679534812

Main info

Organization
Name
Redbird Wellness
NPI
1679534812
Phone
(952) 931-9867
Address
7900 EXCELSIOR BLVD STE 100
Authorized Official
SHAWN DAVID HALLIDAY PRESIDENT DC
Enumeration Date
29 March 2006
Last Update Date
15 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness90
Years active:20State licenses:0Digital endpoints

Provider Addresses for Redbird Wellness

  • 7900 EXCELSIOR BLVD STE 100

    HOPKINS, MN 553433446

    Phone: (952) 931-9867

    Fax: (952) 931-9868

    Type: Mailing

  • 8534, Excelsior Boulevard, Hopkins, Hennepin County, Minnesota, 55343, United States

    HOPKINS, MN 553432040

    Phone: (952) 931-9867

    Fax: (952) 931-9868

    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: 2010-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-08-31 (281 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20100506000066OClinic/Group PracticeMN2025-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 55343)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Redbird Wellness?
Redbird Wellness — NPI 1679534812 — is the standard way to identify this listing.
Is Redbird Wellness listed as active for patients and plans?
The listing shows Redbird Wellness as active in the NPI system.
What is Redbird Wellness's primary classification?
Chiropractor is the headline specialty for Redbird Wellness here. Clinical services aligned with this taxonomy classification.
What address line appears for Redbird Wellness?
Redbird Wellness's geographic hint is Hopkins, Minnesota in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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