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DR. JORDAN BOEKHOUT D.C.
NPI 1184169005
Chiropractor in Brooklyn Park, MN

Active since January 02, 2017Accepts Medicare Assignment
4632 85TH AVE N, BROOKLYN PARK, MN 55443(763) 494-4900(763) 494-4902 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2021, Jan 2, 2017 (2 updates tracked since 2017).

About Dr. Jordan Boekhout D.c. NPPES

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

DR. JORDAN BOEKHOUT D.C. (NPI 1184169005) is an individual chiropractor in Brooklyn Park, Minnesota, licensed in Minnesota (6308) and active in the NPI registry since January 2017. He is a graduate of Northwestern College Of Chiropractic (2016).

NPPES Registry Identity

NPI1184169005
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JORDAN BOEKHOUTCredential: D.C.
Location Address4632 85TH AVE NBrooklyn Park, MN 55443-1957
Mailing Address4632 85th Ave NBrooklyn Park, MN 55443-1957 · (763) 494-4900 · Fax (763) 494-4902
Phone(763) 494-4900
Fax(763) 494-4902
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2016
Enumeration DateJanuary 2, 2017
Last NPPES UpdateJune 3, 20212 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
✔ NPI 1184169005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6308
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.
4632 85TH AVE N, Brooklyn Park, MN 55443
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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. Jordan Boekhout 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 ID9032490859
PECOS Enrollment IDI20170110000124

Medicare Billing Reassignment

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

Park East Chiropractic, PC
Same address
Chiropractor
4632 85TH AVE N
Brooklyn Park, MN 55443
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group
NPI 1285154542 (763) 494-4900

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.
284 services30 patients

Other Providers at the Same Location NPPES 6

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

PARK EAST CHIROPRACTIC, PC
Chiropractor
4632 85TH AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 494-4900
QUINNISHA REGINA-NIKI HUNTER
Massage Therapist
4632 85TH AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 494-4900
TROY WILLIAM FRIESEN
Clinic/Center (Health Service)
4632 85TH AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 494-4900
DR. TROY WILLIAM FRIESEN D.C.
Chiropractor
4632 85TH AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 494-4900
JOSE ANTHONY VASQUEZ
Massage Therapist
4632 85TH AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 494-4900
CONNOR REIMER CMT
Massage Therapist
4632 85TH AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 494-4900

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 Jordan Boekhout's NPI number?

The NPI number for Jordan Boekhout is 1184169005. It was assigned to this individual provider in the NPPES registry on January 2, 2017.

Where is Jordan Boekhout located?

Jordan Boekhout practices at 4632 85th Ave N, Brooklyn Park, MN 55443. The listed phone number is (763) 494-4900.

What is Jordan Boekhout's specialty?

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

Is Jordan Boekhout enrolled in Medicare?

Yes. Jordan Boekhout 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 Jordan Boekhout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Boekhout reassigns Medicare benefits to Park East Chiropractic, PC (Brooklyn 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 Jordan Boekhout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Boekhout accept?

Health plans from HealthPartners list Jordan Boekhout 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 Jordan Boekhout was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.