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DR. JENNIFER JILL PETERSEN D.C.
NPI 1124180104
Chiropractor in Lakeville, MN

Active since December 15, 2006Accepts Medicare Assignment
20730 HOLYOKE AVE, SUITE 34, LAKEVILLE, MN 55044(952) 469-6016(952) 469-4017 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Jill Petersen D.c. NPPES

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

DR. JENNIFER JILL PETERSEN D.C. (NPI 1124180104) is an individual chiropractor in Lakeville, Minnesota, licensed in Minnesota (3661) and active in the NPI registry since December 2006. She is a graduate of Northwestern College Of Chiropractic (1998).

NPPES Registry Identity

NPI1124180104
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JENNIFER JILL PETERSENCredential: D.C.
Location Address20730 HOLYOKE AVE, SUITE 34Lakeville, MN 55044
Mailing AddressPo Box 154Lakeville, MN 55044-0154 · (952) 469-6016 · Fax (952) 469-4017
Phone(952) 469-6016
Fax(952) 469-4017
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 1998
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124180104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3661
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.
20730 HOLYOKE AVE, Lakeville, MN 55044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Jill Petersen D.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 ID2062453566
PECOS Enrollment IDI20050516000125

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.
79 services11 patients

Other Providers at the Same Location NPPES 2

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

WAVES OF CHANGE COUNSELING SERVICES, LLC
Community/Behavioral Health
20730 HOLYOKE AVE, SUITE 137
LAKEVILLE, MN 55044
Dakota County (612) 567-0278
CHRISTA E SATTERFIELD LMT
Massage Therapist
20730 HOLYOKE AVE
LAKEVILLE, MN 55044
Dakota County (612) 289-8456

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 Petersen's NPI number?

The NPI number for Jennifer Petersen is 1124180104. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Jennifer Petersen located?

Jennifer Petersen practices at 20730 Holyoke Ave Suite 34, Lakeville, MN 55044. The listed phone number is (952) 469-6016.

What is Jennifer Petersen's specialty?

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

Is Jennifer Petersen enrolled in Medicare?

Yes. Jennifer Petersen 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.

What insurance does Jennifer Petersen accept?

Health plans from HealthPartners and Medica list Jennifer Petersen 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 Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.