Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043773013 Individual Practitioner Male Practitioner

Dr. John Michael Ketelsen , DC

Chiropractor • Coon Rapids, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Ketelsen, DC is a certified Chiropractor practicing in Coon Rapids, MN. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Ketelsen delivers high-quality medical care to the local community at 1835 GATEWAY DR NW STE 104.

Dr. Ketelsen is affiliated with Moe Chiro Tres Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1835 Gateway Dr Nw Ste 104

Coon Rapids, MN 554484513

Telephone 7637108888
Fax 7632255629
Associated Practice Facility / Clinic
🏢 Moe Chiro Tres Pllc Facility NPI 1063054302

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Coon Rapids, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -11.1 yrs vs City Avg
City Avg: 19.1 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Coon Rapids, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ketelsen (8 Years) 8 Yrs
Coon Rapids Specialty Average (19.1 Years) 19.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-06
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License 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.

Hospital & Practice Group Affiliations

Moe Chiro Tres Pllc

1835 Gateway Dr Nw, Coon Rapids, MN 554484513

Phone: 7637108888

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1134526502

Doctor of Chiropractic

NPI 1326511379

Doctor of Chiropractic

Kristin Chase

Massage Therapist

NPI 1891505244

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 06, 2026

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

📍
Updated Business Mailing Address July 06, 2026

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

📍
Updated Practice Location October 31, 2019

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

📍
Updated Business Mailing Address October 31, 2019

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

NPI Profile Active April 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2019

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

📍
Updated Business Mailing Address April 08, 2019

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

👤
Provider Name / Credentials Updated April 08, 2019

Recorded as JOHN KETELSEN, DC

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

Chiropractor (License #6612 in MN)

🟢
Initial NPI Registration & Enumeration April 08, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

1835 Gateway Dr Nw Ste 104

Coon Rapids, MN 554484513

Phone: 7637108888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.