DR. BENJAMIN JOSEPH DEGENHARDT DC
NPI 1114657053
Chiropractor in Eagan, MN
About Dr. Benjamin Joseph Degenhardt Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN JOSEPH DEGENHARDT DC (NPI 1114657053) is an individual chiropractor in Eagan, Minnesota, licensed in Minnesota (6986) and active in the NPI registry since June 2022. He is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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. Benjamin Joseph Degenhardt 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 Benjamin Degenhardt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 29 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.
Other Providers at the Same Location NPPES 3
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 Benjamin Degenhardt's NPI number?
The NPI number for Benjamin Degenhardt is 1114657053. It was assigned to this individual provider in the NPPES registry on June 14, 2022.
Where is Benjamin Degenhardt located?
Benjamin Degenhardt practices at 1565 Thomas Center Dr, Eagan, MN 55122. The listed phone number is (651) 734-6959.
What is Benjamin Degenhardt's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Benjamin Degenhardt enrolled in Medicare?
Yes. Benjamin Degenhardt 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 Benjamin Degenhardt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Degenhardt reassigns Medicare benefits to Life Clinic, P.A. (St Louis Park, MN). 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 Benjamin Degenhardt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Benjamin Degenhardt was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Benjamin Joseph Degenhardt, DC · NPI 1114657053
Chiropractor provider in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since June 14, 2022.
## Identity
- **NPI:** 1114657053 (Entity type: Individual)
- **Enumerated:** June 14, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 6986 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1565 THOMAS CENTER DR, Eagan, MN 55122-2642
- **Phone:** (651) 734-6959
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Life Clinic, P.A. (NPI 1023296167, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114657053) · Data from the CMS NPPES public registry.