JEN E NELSON DC PLLC
NPI 1184923849
Chiropractor in Tempe, AZ

Q: What is Jen E Nelson Dc PLLC's NPI number?

The NPI number for Jen E Nelson Dc PLLC is 1184923849. It was assigned to this organization in the NPPES registry on March 21, 2011.

Q: What is Jen E Nelson Dc PLLC's specialty?

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

Active since March 21, 2011

4645 S LAKESHORE DR STE 5, TEMPE, AZ 85282(480) 966-2258(480) 966-2628 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jen E Nelson Dc Pllc NPPES

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

JEN E NELSON DC PLLC (NPI 1184923849) is a healthcare organization registered as a chiropractor in Tempe, Arizona and active in the NPI registry since March 2011. The organization lists Jennie E Nelson, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1184923849

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameJEN E NELSON DC PLLC

Location Address4645 S LAKESHORE DR STE 5Tempe, AZ 85282-7152

Mailing Address4645 S Lakeshore Dr Ste 5Tempe, AZ 85282-7152 · (480) 966-2258 · Fax (480) 966-2628

Phone(480) 966-2258

Fax(480) 966-2628

Organization SubpartNo

Authorized OfficialJennie E NelsonOwner/chiropractor · (480) 966-2258

Enumeration DateMarch 21, 2011

Last NPPES UpdateJanuary 10, 2022

NPPES CertifiedJanuary 10, 2022

✔ NPI 1184923849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in AZ · 7464

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.

4645 S LAKESHORE DR STE 5, Tempe, AZ 85282

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jen E Nelson Dc Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateArizonaEnrollment IDO20110504000044Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jen E Nelson Dc PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennie Nelson, DC

Chiropractic

NPI 1558312694

4645 S LAKESHORE DR STE 5
Tempe, AZ 85282

(480) 966-2258

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jen E Nelson Dc PLLC's NPI number?

The NPI number for Jen E Nelson Dc PLLC is 1184923849. It was assigned to this organization in the NPPES registry on March 21, 2011.

Where is Jen E Nelson Dc PLLC located?

Jen E Nelson Dc PLLC is located at 4645 S Lakeshore Dr Ste 5, Tempe, AZ 85282. The listed phone number is (480) 966-2258.

What is Jen E Nelson Dc PLLC's specialty?

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

Is Jen E Nelson Dc PLLC enrolled in Medicare?

Yes. Jen E Nelson Dc PLLC is registered in the Medicare PECOS enrollment system.

When is Jen E Nelson Dc PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jen E Nelson Dc PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jen E Nelson Dc PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jen E Nelson Dc PLLC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.