PETTERSON CHIROPRACTIC CLINIC PA – Chiropractor, NPI 1750451639

PETTERSON CHIROPRACTIC CLINIC PA is a healthcare provider. based in Hastings, Minnesota. specializing in Chiropractor. The organization holds a License No. 3748 (MN). The NPI Number for PETTERSON CHIROPRACTIC CLINIC PA is 1750451639

Main info

Organization
Name
PETTERSON CHIROPRACTIC CLINIC PA
NPI
1750451639
Phone
(651) 480-1128
Address
825 BAHLS DRIVE
Authorized Official
CHAD JEREMY PETTERSON OWNER PRESIDENT DC
Enumeration Date
8 November 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PETTERSON CHIROPRACTIC CLINIC PA

  • 825, Bahls Drive, Hastings, Dakota County, Minnesota, 55033, United States

    HASTINGS, MN 55033

    Phone: (651) 480-1128

    Fax: (651) 438-3929

    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: 2005-03-29

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
O20050329000868OClinic/Group PracticeMNTBD

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 55033)

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Reviews

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Frequently asked questions

Is there an official ID for PETTERSON CHIROPRACTIC CLINIC PA in U.S. healthcare records?
The official identifier for PETTERSON CHIROPRACTIC CLINIC PA is NPI 1750451639.
Would PETTERSON CHIROPRACTIC CLINIC PA appear as active to a payer?
You can treat PETTERSON CHIROPRACTIC CLINIC PA as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for PETTERSON CHIROPRACTIC CLINIC PA?
At a glance, PETTERSON CHIROPRACTIC CLINIC PA is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for PETTERSON CHIROPRACTIC CLINIC PA?
Travel planning: use Hastings, Minnesota as the reference point for PETTERSON CHIROPRACTIC CLINIC PA, then confirm.
When was this NPI issued?
Enumeration for PETTERSON CHIROPRACTIC CLINIC PA is noted as November 8, 2006 where the registry provides it.

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