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

NPI Status: Active since December 15, 2006

Contact Information

20730 HOLYOKE AVE
SUITE 34
LAKEVILLE, MN
ZIP 55044
Phone: (952) 469-6016
Fax: (952) 469-4017

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  • Individual
  • Female
  • Years of Experience 28
  • Chiropractor
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JENNIFER PETERSEN

This page provides the complete NPI Profile along with additional information for Jennifer Petersen, a provider established in Lakeville, Minnesota with a medical specialization in Chiropractor and more than 28 years of experience. She graduated from Northwestern College Of Chiropractic in 1998. The healthcare provider is registered in the NPI registry with number 1124180104 assigned on December 2006. The practitioner's primary taxonomy code is 111N00000X with license number 3661 (MN). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1124180104
Provider Name
DR. JENNIFER JILL PETERSEN D.C.
Gender
Female
Entity Type
Individual
Location Address
20730 HOLYOKE AVE SUITE 34 LAKEVILLE, MN 55044
Location Phone
(952) 469-6016
Location Fax
(952) 469-4017
Mailing Address
PO BOX 154 LAKEVILLE, MN 55044
Mailing Phone
(952) 469-6016
Mailing Fax
(952) 469-4017
Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduation Year
1998
Is Sole Proprietor?
Yes
Enumeration Date
12-15-2006
Last Update Date
07-08-2007
Code Navigator

A chiropractor like Jennifer Petersen helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
3661
License State
MN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,300 Gold - PPO
  • Atlas $2,000 Standard Gold - PPO
  • Atlas $3,050 Plus Silver - PPO
  • Atlas $3,800 HSA Silver - PPO
  • Atlas $6,000 Standard Silver - PPO
  • Atlas $6,800 Plus Bronze HSA - PPO
  • Atlas $7,500 Standard Bronze HSA - PPO
  • Atlas $8,400 HSA Bronze - PPO
  • Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
  • Altru Prime by Medica Bronze Share - HMO
  • Altru Prime by Medica Expanded Bronze Standard - HMO
  • Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
  • Altru Prime by Medica Gold Share - HMO
  • Altru Prime by Medica Gold Standard - HMO
  • Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
  • Altru Prime by Medica Silver Share - HMO
  • Altru Prime by Medica Silver Standard - HMO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - PPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Share - PPO
  • Balance by Medica Silver Standard - PPO
  • Elevate by Medica Bronze $0 Copay PCP Visits - EPO
  • Elevate by Medica Bronze Share - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jennifer Petersen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2062453566

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050516000125

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124180104, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 8 + 0 + 1 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1124180104.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Community/Behavioral Health
20730 HOLYOKE AVE, SUITE 137
LAKEVILLE, MN 55044
Massage Therapist
20730 HOLYOKE AVE
LAKEVILLE, MN 55044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124180104, enumerated as an "individual" on December 15, 2006.

The provider is located at 20730 HOLYOKE AVE SUITE 34 LAKEVILLE, MN 55044 and the phone number is (952) 469-6016.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.