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DR. JENNIFER MARIE LIDSTROM M.S.,D.C.,P.C.
NPI 1073618708
Chiropractor in Cornelius, NC

Active since September 14, 2006Accepts Medicare Assignment
19924 JETTON RD, SUITE 101, CORNELIUS, NC 28031(704) 876-8446(704) 896-8495 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jennifer Marie Lidstrom M.s.,d.c.,p.c. NPPES

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

DR. JENNIFER MARIE LIDSTROM M.S.,D.C.,P.C. (NPI 1073618708) is an individual chiropractor in Cornelius, North Carolina, licensed in North Carolina (3249) and active in the NPI registry since September 2006. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1073618708
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JENNIFER MARIE LIDSTROMCredential: M.S.,D.C.,P.C.
Location Address19924 JETTON RD, SUITE 101Cornelius, NC 28031-8250
Mailing Address19924 Jetton Rd, Suite 101Cornelius, NC 28031-8250 · (704) 876-8446 · Fax (704) 896-8495
Phone(704) 876-8446
Fax(704) 896-8495
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMay 15, 2020
NPPES CertifiedMay 15, 2020
✔ NPI 1073618708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NC · 3249
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.
19924 JETTON RD, Cornelius, NC 28031
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Other Identifiers 1

Medicaid89085RNNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Jennifer Marie Lidstrom M.s.,d.c.,p.c. 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 ID1759356991
PECOS Enrollment IDI20040831000820

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Lidstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jennifer Lidstrom Ms Dc PC
2.6 mi
Multi-Specialty
11220 TREYNORTH DR STE A
Cornelius, NC 28031
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
NPI 1033125240 (704) 896-8446

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.
340 services42 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAURA ANNE JUSSILA WATTERSON DC
Chiropractor
19924 JETTON RD
CORNELIUS, NC 28031
Mecklenburg County (704) 896-8446

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 Jennifer Lidstrom's NPI number?

The NPI number for Jennifer Lidstrom is 1073618708. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Jennifer Lidstrom located?

Jennifer Lidstrom practices at 19924 Jetton Rd Suite 101, Cornelius, NC 28031. The listed phone number is (704) 876-8446.

What is Jennifer Lidstrom's specialty?

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

Is Jennifer Lidstrom enrolled in Medicare?

Yes. Jennifer Lidstrom 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 Jennifer Lidstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Lidstrom reassigns Medicare benefits to Jennifer Lidstrom Ms Dc PC (Cornelius, NC). 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 Jennifer Lidstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Lidstrom accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jennifer Lidstrom 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 Jennifer Lidstrom was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.