DR. JENNIE-MARIE EVANKA ARCHAMBAULT DC
NPI 1043792856
Chiropractor in Lake Oswego, OR
About Dr. Jennie-marie Evanka Archambault Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIE-MARIE EVANKA ARCHAMBAULT DC (NPI 1043792856) is an individual chiropractor in Lake Oswego, Oregon, licensed in Oregon (5923) and active in the NPI registry since August 2018. She is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Jennie-marie Evanka Archambault 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.
Medicare Billing Reassignment
Medicare enrollment records show Jennie-marie Archambault reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Oswego, OR 97035
- Reassigned Medicare billing, Oregon enrollment
- 2 clinicians in this Medicare group
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.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jennie-marie Archambault's NPI number?
The NPI number for Jennie-marie Archambault is 1043792856. It was assigned to this individual provider in the NPPES registry on August 29, 2018.
Where is Jennie-marie Archambault located?
Jennie-marie Archambault practices at 3990 Collins Way, Lake Oswego, OR 97035. The listed phone number is (503) 635-1236.
What is Jennie-marie Archambault's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jennie-marie Archambault enrolled in Medicare?
Yes. Jennie-marie Archambault 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 organization bills Medicare for Jennie-marie Archambault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennie-marie Archambault reassigns Medicare benefits to Kruse Park Chiropractic LLC (Lake Oswego, OR). The 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 Jennie-marie Archambault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennie-marie Archambault accept?
Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Jennie-marie Archambault 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 Jennie-marie Archambault was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Jennie-Marie Evanka Archambault, DC · NPI 1043792856
Chiropractor provider in Lake Oswego, Oregon. Individual provider, active in the CMS NPPES registry since August 29, 2018.
## Identity
- **NPI:** 1043792856 (Entity type: Individual)
- **Enumerated:** August 29, 2018
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5923 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3990 COLLINS WAY, Lake Oswego, OR 97035
- **Phone:** (503) 635-1236
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Kruse Park Chiropractic LLC (NPI 1700363389, Lake Oswego, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1043792856) · Data from the CMS NPPES public registry.