JACK ERICKSON DC
NPI 1194438374
Chiropractor in Eagan, MN

Active since January 03, 2023Accepts Medicare Assignment
1565 THOMAS CENTER DR, EAGAN, MN 55122(651) 734-6959 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Erickson Dc NPPES

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

JACK ERICKSON DC (NPI 1194438374) is an individual chiropractor in Eagan, Minnesota, licensed in Minnesota (7040) and active in the NPI registry since January 2023. He is a graduate of Northwestern College Of Chiropractic (2022).

NPPES Registry Identity

NPI1194438374
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACK ERICKSONCredential: DC
Location Address1565 THOMAS CENTER DREagan, MN 55122-2642
Mailing Address19153 Enchanted WayFarmington, MN 55024-8094
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2022
Enumeration DateJanuary 3, 2023
NPPES CertifiedJanuary 3, 2023
NPI 1194438374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 7040
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.
1565 THOMAS CENTER DR, Eagan, MN 55122

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

Jack Erickson 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.

PECOS PAC ID3577935824
PECOS Enrollment IDI20230214002207

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.

Chiropractor
1565 THOMAS CENTER DR
EAGAN, MN 55122
Physical Therapist (Orthopedic)
1565 THOMAS CENTER DR
EAGAN, MN 55122
Chiropractor
1565 THOMAS CENTER DR
EAGAN, MN 55122

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 Jack Erickson's NPI number?

The NPI number for Jack Erickson is 1194438374. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Jack Erickson located?

Jack Erickson practices at 1565 Thomas Center Dr, Eagan, MN 55122. The listed phone number is (651) 734-6959.

What is Jack Erickson's specialty?

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

Is Jack Erickson enrolled in Medicare?

Yes. Jack Erickson 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.

When was this NPI record last updated?

The NPPES record for Jack Erickson was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.