OrganizationActiveAccepts Medicare
Peterson Wellness Clinic P.A.
NPI 1639791932 · Chiropractor · Spicer, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1639791932
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Zachary Peterson, Chiropractor(320) 583-5839
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
194 Progress Way
Spicer, MN 56288-5000
Phone: (320) 583-5839
Street-level locationGet directions
Mailing address
194 Progress Way
Spicer, MN 56288-5000
Other names (DBA / former)
- Doing business as
- Green Lake Chiropractic Center
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.