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JORDAN MATTHEW PETERSON DC
NPI 1003457466
Chiropractor in Elma, WA

Active since October 07, 2019Accepts Medicare Assignment

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jordan Matthew Peterson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN MATTHEW PETERSON DC (NPI 1003457466) is an individual chiropractor in Elma, Washington, licensed in Washington (CH60990272) and active in the NPI registry since October 2019. He is a graduate of Cleveland Chiropractic College - Kansas City (2019).

NPPES Registry Identity

NPI1003457466
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJORDAN MATTHEW PETERSONCredential: DC
Location Address103 N 1ST STElma, WA 98541-9854
Mailing AddressPo Box 656Elma, WA 98541-0656 · (360) 482-5155 · Fax (360) 482-4155
Phone(360) 482-5155
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2019
Enumeration DateOctober 7, 2019
✔ NPI 1003457466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH60990272
Definition
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.
103 N 1ST ST, Elma, WA 98541
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Matthew Peterson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395154074
PECOS Enrollment IDI20210510001531

Medicare Billing Reassignments

2

Medicare enrollment records show Jordan Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

M & K Etc Inc
Same address
Chiropractor
103 N 1ST STREET
Elma, WA 98541
  • Reassigned Medicare billing, Washington enrollment
  • 2 clinicians in this Medicare group
NPI 1699817197 (360) 482-5155
Core Chiropractic Clinic, P.S.
9.7 mi
Chiropractor
330 W PIONEER AVE STE C
Montesano, WA 98563
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Core Chiropractic Clinic Ps
NPI 1942696638 (360) 249-8291

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
617 services126 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Peterson's NPI number?

The NPI number for Jordan Peterson is 1003457466. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Jordan Peterson located?

Jordan Peterson practices at 103 N 1st St, Elma, WA 98541. The listed phone number is (360) 482-5155.

What is Jordan Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jordan Peterson enrolled in Medicare?

Yes. Jordan Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jordan Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Peterson reassigns Medicare benefits to 2 organizations: M & K Etc Inc (Elma, WA) and Core Chiropractic Clinic, P.S. (Montesano, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Peterson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jordan Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Peterson was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.