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DR. JASON G FENNEMA D.C.
NPI 1386657690
Chiropractor in Chicago, IL

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
1806 W CUYLER AVE, CHICAGO, IL 60613(773) 327-2225 Get Directions Write a Review

NPPES record last updated: March 7, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jason G Fennema D.c. NPPES

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

DR. JASON G FENNEMA D.C. (NPI 1386657690) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038-010696) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Logan College Of Chiropractic (2006).

NPPES Registry Identity

NPI1386657690
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JASON G FENNEMACredential: D.C.
Location Address1806 W CUYLER AVEChicago, IL 60613-2402
Mailing Address1806 W Cuyler AveChicago, IL 60613-2402 · (773) 327-2225
Phone(773) 327-2225
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2006
Enumeration DateAugust 15, 2006
Last NPPES UpdateMarch 7, 2008
✔ NPI 1386657690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-010696
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.
1806 W CUYLER AVE, Chicago, IL 60613
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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

Dr. Jason G Fennema 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 ID6901094200
PECOS Enrollment IDI20110121001053
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jason Fennema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ravenswood Health And Wellness Center, S.C.
0.3 mi
Rehabilitation
4256 N RAVENSWOOD AVE, UNIT 101
Chicago, IL 60613
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1093126435 (773) 327-2225
Advance Performance Pain And Wellness Center
32 mi
Rehabilitation
1222 N EOLA RD
Aurora, IL 60502
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1356887475 (630) 499-8804

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.
634 services45 patients

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.

HUMAN PERFORMANCE INSTITUTE OF CHICAGO, LLC
Physical Therapist
1806 W CUYLER AVE
CHICAGO, IL 60613
Cook County (773) 316-2400
HPI CHICAGO LLC
Physical Therapist
1806 W CUYLER AVE
CHICAGO, IL 60613
Cook County (773) 316-2400
RAECHEL PIERCE LCSW
Social Worker (Clinical)
1806 W CUYLER AVE
CHICAGO, IL 60613
Cook County (773) 231-6129

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 Jason Fennema's NPI number?

The NPI number for Jason Fennema is 1386657690. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Jason Fennema located?

Jason Fennema practices at 1806 W Cuyler Ave, Chicago, IL 60613. The listed phone number is (773) 327-2225.

What is Jason Fennema's specialty?

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

Is Jason Fennema enrolled in Medicare?

Yes. Jason Fennema 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 organizations bill Medicare for Jason Fennema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Fennema reassigns Medicare benefits to 2 organizations: Ravenswood Health And Wellness Center, S.C. (Chicago, IL) and Advance Performance Pain And Wellness Center (Aurora, IL). Each 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 Jason Fennema'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 Jason Fennema was last updated on March 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.