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JACK VICTOR LUNDBOHM
NPI 1275632234
Chiropractor in Roseau, MN

Active since September 22, 2006Accepts Medicare Assignment
317 2ND ST NW STE A, ROSEAU, MN 56751(218) 463-2992(218) 463-1229 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack Victor Lundbohm NPPES

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

JACK VICTOR LUNDBOHM (NPI 1275632234) is an individual chiropractor in Roseau, Minnesota, licensed in Minnesota (1792) and active in the NPI registry since September 2006. He is a graduate of Northwestern College Of Chiropractic (1981).

NPPES Registry Identity

NPI1275632234
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACK VICTOR LUNDBOHM
Location Address317 2ND ST NW STE ARoseau, MN 56751
Mailing Address317 2nd St Nw Ste ARoseau, MN 56751 · (218) 463-2992 · Fax (218) 463-1229
Phone(218) 463-2992
Fax(218) 463-1229
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 1981
Enumeration DateSeptember 22, 2006
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1275632234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1792
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.
317 2ND ST NW STE A, Roseau, MN 56751
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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

Jack Victor Lundbohm 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 ID749217974
PECOS Enrollment IDI20050720000153

Medicare Billing Reassignment

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

Jack V, Lundbohm Inc
Same address
Clinic/Center
317 2ND ST NW, SUITE A
Roseau, MN 56751
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1780822486 (218) 463-2992

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 2

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, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
194 services26 patients
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.
40 services14 patients

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 Lundbohm's NPI number?

The NPI number for Jack Lundbohm is 1275632234. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Jack Lundbohm located?

Jack Lundbohm practices at 317 2nd St NW Ste A, Roseau, MN 56751. The listed phone number is (218) 463-2992.

What is Jack Lundbohm's specialty?

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

Is Jack Lundbohm enrolled in Medicare?

Yes. Jack Lundbohm 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 Jack Lundbohm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Lundbohm reassigns Medicare benefits to Jack V, Lundbohm Inc (Roseau, 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 Jack Lundbohm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jack Lundbohm was last updated on September 7, 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.