JENNA LYNN DOUGHERTY DC
NPI 1336849587
Chiropractor in Hermantown, MN

Active since March 07, 2023
5094 MILLER TRUNK HWY STE 300, HERMANTOWN, MN 55811(218) 729-7077 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jenna Lynn Dougherty Dc NPPES

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

JENNA LYNN DOUGHERTY DC (NPI 1336849587) is an individual chiropractor in Hermantown, Minnesota, licensed in Minnesota (7081) and active in the NPI registry since March 2023. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1336849587
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameJENNA LYNN DOUGHERTYCredential: DC
Location Address5094 MILLER TRUNK HWY STE 300Hermantown, MN 55811-1637
Mailing Address5094 Miller Trunk Hwy Ste 300Hermantown, MN 55811-1637 · (218) 729-7077
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1336849587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 7081
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.
5094 MILLER TRUNK HWY STE 300, Hermantown, MN 55811

Other Identifiers 1

Other1992193825MN · Nppes

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Lynn Dougherty Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305211921
PECOS Enrollment IDI20230413001726

Medicare Billing Reassignment

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

Chiropractor
5094 MILLER TRUNK HWY, SUITE 900
Hermantown, MN 55811
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group

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, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
168 services17 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 Jenna Dougherty's NPI number?

The NPI number for Jenna Dougherty is 1336849587. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Jenna Dougherty located?

Jenna Dougherty practices at 5094 Miller Trunk Hwy Ste 300, Hermantown, MN 55811. The listed phone number is (218) 729-7077.

What is Jenna Dougherty's specialty?

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

Is Jenna Dougherty enrolled in Medicare?

Yes. Jenna Dougherty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Dougherty reassigns Medicare benefits to True North Spinal Care, PLLC (Hermantown, 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 Jenna Dougherty'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 Jenna Dougherty was last updated on March 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.