Big Lake Spine & Sport, PA
NPI 1295747889 · Chiropractor · Monticello, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Big Lake Spine & Sport, PA is a Chiropractor organization in Monticello, MN (NPI 1295747889).
Provider details
- NPI number
- 1295747889
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Bill Mickle, Owner(763) 260-8401
- License
- 3548 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Great River Spine & Sport
- Doing business as
- Great River Spine & Sport
Additional practice locations (1)
- 751 Rose Dr Ste 108Big Lake, MN 55309-8870Phone: (763) 260-8401Fax: (763) 273-8921
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2019-10-18
Frequently asked questions
- What is Big Lake Spine & Sport, PA's NPI number?
- Big Lake Spine & Sport, PA's National Provider Identifier (NPI) is 1295747889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Big Lake Spine & Sport, PA?
- Big Lake Spine & Sport, PA is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Big Lake Spine & Sport, PA located?
- Big Lake Spine & Sport, PA's practice location on file with NPPES is 1260 Highway 25 S, Monticello, MN 55362-8921.
- What is Big Lake Spine & Sport, PA's phone number?
- The practice phone number listed in the NPPES registry for Big Lake Spine & Sport, PA is (763) 260-8401.
- Does Big Lake Spine & Sport, PA accept Medicare?
- Big Lake Spine & Sport, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Big Lake Spine & Sport, PA?
- The authorized official listed on Big Lake Spine & Sport, PA's NPPES record is Bill Mickle, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Big Lake Spine & Sport, PA's NPI active?
- Yes — Big Lake Spine & Sport, PA's NPI (1295747889) is active in the NPPES registry as of the last update on 2019-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.