Wellnessone of Nisswa
NPI 1578646360 · Chiropractor · Nisswa, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wellnessone of Nisswa is a Chiropractor organization in Nisswa, MN (NPI 1578646360).
Provider details
- NPI number
- 1578646360
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Derrek Johnson, Owner(218) 963-3311
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
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
Mailing address
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2007-07-24
Frequently asked questions
- What is Wellnessone of Nisswa's NPI number?
- Wellnessone of Nisswa's National Provider Identifier (NPI) is 1578646360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellnessone of Nisswa?
- Wellnessone of Nisswa is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Wellnessone of Nisswa located?
- Wellnessone of Nisswa's practice location on file with NPPES is 5482 County Rd. 18, Nisswa, MN 56468.
- What is Wellnessone of Nisswa's phone number?
- The practice phone number listed in the NPPES registry for Wellnessone of Nisswa is (218) 963-3311.
- Does Wellnessone of Nisswa accept Medicare?
- Wellnessone of Nisswa 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 Wellnessone of Nisswa?
- The authorized official listed on Wellnessone of Nisswa's NPPES record is Derrek Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellnessone of Nisswa's NPI active?
- Yes — Wellnessone of Nisswa's NPI (1578646360) is active in the NPPES registry as of the last update on 2007-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.