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DR. JASON DEREK MCDONALD DC
NPI 1477971711
Chiropractor in Queen Creek, AZ

Active since April 03, 2014Accepts Medicare Assignment
22711 S ELLSWORTH RD # G106, QUEEN CREEK, AZ 85142(480) 264-6800(480) 300-4688 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jason Derek Mcdonald Dc NPPES

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

DR. JASON DEREK MCDONALD DC (NPI 1477971711) is an individual chiropractor in Queen Creek, Arizona, licensed in Arizona (8350) and active in the NPI registry since April 2014. He is affiliated with Pullman Regional Hospital and is a graduate of Logan College Of Chiropractic (2012).

NPPES Registry Identity

NPI1477971711
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JASON DEREK MCDONALDCredential: DC
Location Address22711 S ELLSWORTH RD # G106Queen Creek, AZ 85142-6788
Mailing Address22711 S Ellsworth Rd Ste G106Queen Creek, AZ 85142-6788 · (480) 264-6800 · Fax (480) 300-4688
Phone(480) 264-6800
Fax(480) 300-4688
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2012
Enumeration DateApril 3, 2014
Last NPPES UpdateJune 3, 2020
NPPES CertifiedJune 3, 2020
✔ NPI 1477971711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 8350
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.
Also ListedChiropractor · NutritionTaxonomy 111NN1001X · License 8350 (AZ)
22711 S ELLSWORTH RD # G106, Queen Creek, AZ 85142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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 Derek Mcdonald 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 ID9133440910
PECOS Enrollment IDI20150624001918

Medicare Billing Reassignment

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

Jkm LLC
Same address
Chiropractor
22711 S ELLSWORTH RD # G106
Queen Creek, AZ 85142
  • Reassigned Medicare billing, Arizona enrollment
NPI 1083186969 (480) 264-6800

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JKM LLC
Chiropractor
22711 S ELLSWORTH RD # G106
QUEEN CREEK, AZ 85142
Maricopa County (480) 264-6800

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 Mcdonald's NPI number?

The NPI number for Jason Mcdonald is 1477971711. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Jason Mcdonald located?

Jason Mcdonald practices at 22711 S Ellsworth Rd # G106, Queen Creek, AZ 85142. The listed phone number is (480) 264-6800.

What is Jason Mcdonald's specialty?

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

Is Jason Mcdonald enrolled in Medicare?

Yes. Jason Mcdonald 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 Jason Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Mcdonald reassigns Medicare benefits to Jkm LLC (Queen Creek, AZ). 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 Jason Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Mcdonald accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Jason Mcdonald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jason Mcdonald affiliated with any hospitals?

According to CMS data, Jason Mcdonald is affiliated with Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Jason Mcdonald was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.