Eagle Trace Wellness Center, PA
NPI 1790932390 · Chiropractor · Burnsville, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eagle Trace Wellness Center, PA is a Chiropractor organization in Burnsville, MN (NPI 1790932390).
Provider details
- NPI number
- 1790932390
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Elisa Kensinger, Vice President, Secretary, Treasure(952) 808-2922
- License
- 832 (MN)
Specialties & taxonomies
Chiropractic Providers
Other Service Providers
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2008-08-26
- Last updated
- 2008-08-26
Frequently asked questions
- What is Eagle Trace Wellness Center, PA's NPI number?
- Eagle Trace Wellness Center, PA's National Provider Identifier (NPI) is 1790932390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Trace Wellness Center, PA?
- Eagle Trace Wellness Center, PA is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Eagle Trace Wellness Center, PA located?
- Eagle Trace Wellness Center, PA's practice location on file with NPPES is 12002 County Road 11, Burnsville, MN 55337-3016.
- What is Eagle Trace Wellness Center, PA's phone number?
- The practice phone number listed in the NPPES registry for Eagle Trace Wellness Center, PA is (952) 808-2922.
- Does Eagle Trace Wellness Center, PA accept Medicare?
- Eagle Trace Wellness Center, 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 Eagle Trace Wellness Center, PA?
- The authorized official listed on Eagle Trace Wellness Center, PA's NPPES record is Elisa Kensinger, Vice President, Secretary, Treasure. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Trace Wellness Center, PA's NPI active?
- Yes — Eagle Trace Wellness Center, PA's NPI (1790932390) is active in the NPPES registry as of the last update on 2008-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.