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Dr. John Michael Ketelsen , DC

Chiropractor β€’ Coon Rapids, MN

Active NPI 1043773013 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1835 Gateway Dr Nw Ste 104
Coon Rapids, MN 554484513

Call 7637108888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1835 Gateway Dr Nw Ste 104

Coon Rapids, MN 554484513

Telephone 7637108888
Fax 7632255629
Organization at the Same NPPES Address or Phone
Moe Chiro Tres Pllc Facility NPI 1063054302

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Moe Chiro Tres Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ketelsen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Coon Rapids and Minnesota

20 active clinicians are listed under Chiropractor with a practice address in Coon Rapids, MN (3,377 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coon Rapids

0% of these 20 clinicians have the CMS telehealth indicator.

35% of these 20 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-06
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES MN 6612

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20191007002106

Enrollment State Jurisdiction

MN

PECOS Control ID

8921339995

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Moe Chiro Tres Pllc

1835 Gateway Dr Nw, Coon Rapids, MN 554484513

Phone: 7637108888

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 06, 2026

Registered at 1835 GATEWAY DR NW STE 104, COON RAPIDS, MN 554484513 (Tel: 7637108888)

πŸ“
Updated Business Mailing Address July 06, 2026

Registered at 1835 GATEWAY DR NW STE 104, COON RAPIDS, MN 554484513 (Tel: 7637108888)

πŸ“
Updated Practice Location October 31, 2019

Registered at 4926 42ND AVE N, ROBBINSDALE, MN 55422 (Tel: 7635373927)

πŸ“
Updated Business Mailing Address October 31, 2019

Registered at 4926 42ND AVE N, ROBBINSDALE, MN 554221731 (Tel: 7635373927)

βœ…
NPI Profile Active April 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 08, 2019

Registered at 5843 PRAIRIE RIDGE DR, SHOREVIEW, MN 551265009 (Tel: 7636579600)

πŸ“
Business Mailing Address (Initial Record) April 08, 2019

Registered at 5843 PRAIRIE RIDGE DR, SHOREVIEW, MN 551265009 (Tel: 7636579600)

πŸ‘€
Provider Name / Credentials (Initial Record) April 08, 2019

Recorded as JOHN KETELSEN, DC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2019

Chiropractor (license number reported to NPPES: MN 6612)

🟒
Initial NPI Registration & Enumeration April 08, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043773013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2019
Last Update: July 06, 2026
Sole Proprietor: Yes

Other Chiropractors in Coon Rapids

Healthcare providers in Coon Rapids

Mailing Address

1835 Gateway Dr Nw Ste 104

Coon Rapids, MN 554484513

Phone: 7637108888

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.