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DR. JAY L. PETTIS D.C.
NPI 1548215320
Chiropractor in Eagan, MN

Active since May 23, 2006Accepts Medicare Assignment
1570 CENTURY POINT, EAGAN, MN 55121(651) 405-3990(651) 405-6627 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jay L. Pettis D.c. NPPES

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

DR. JAY L. PETTIS D.C. (NPI 1548215320) is an individual chiropractor in Eagan, Minnesota, licensed in Minnesota (4807) and active in the NPI registry since May 2006. He is a graduate of Northwestern College Of Chiropractic (2003).

NPPES Registry Identity

NPI1548215320
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JAY L. PETTISCredential: D.C.
Location Address1570 CENTURY POINTEagan, MN 55121
Mailing Address1570 Century PointEagan, MN 55121 · (651) 405-3990 · Fax (651) 405-6627
Phone(651) 405-3990
Fax(651) 405-6627
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2003
Enumeration DateMay 23, 2006
Last NPPES UpdateNovember 16, 2007
✔ NPI 1548215320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 4807
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.
1570 CENTURY POINT, Eagan, MN 55121
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Other Identifiers 2

Other534G2PEBcbs
Medicare UPINV09911

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Dr. Jay L. Pettis 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 ID3678578861
PECOS Enrollment IDI20060921000394

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.
127 services13 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 Jay Pettis's NPI number?

The NPI number for Jay Pettis is 1548215320. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Jay Pettis located?

Jay Pettis practices at 1570 Century Point, Eagan, MN 55121. The listed phone number is (651) 405-3990.

What is Jay Pettis's specialty?

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

Is Jay Pettis enrolled in Medicare?

Yes. Jay Pettis 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.

What insurance does Jay Pettis accept?

Health plans from Medica list Jay Pettis 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.

When was this NPI record last updated?

The NPPES record for Jay Pettis was last updated on November 16, 2007. 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.