OrganizationActiveAccepts Medicare
Integrative Chiropractic and Functional Medicine Clinic, LLC
NPI 1063019792 · Chiropractor · Gretna, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1063019792
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Kyle Hedlund, Owner/Chiropractor(785) 259-3700
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11922 Standing Stone Dr Ste 200
Gretna, NE 68028-3887
Phone: (785) 259-3700
Street-level locationGet directions
Mailing address
11922 Standing Stone Dr Ste 200
Gretna, NE 68028-3887
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2020-12-08
- Certified
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.