JEFFREY PRAUSE DC
NPI 1659937464
Chiropractor in Kennewick, WA

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

Active since May 16, 2019Accepts Medicare Assignment

512 N YOUNG ST STE C, KENNEWICK, WA 99336(509) 736-2225 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2019, May 16, 2019 (2 updates tracked since 2019).

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 9
Chiropractor
Accepts Insurance
Accepts Medicare Approved Payment

About JEFFREY PRAUSE

This page provides the complete NPI Profile along with additional information for Jeffrey Prause, a provider established in Kennewick, Washington with a medical specialization in Chiropractor and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1659937464 assigned on May 2019. The practitioner's primary taxonomy code is 111N00000X with license number 11090849-1202 (UT). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI: 1659937464 Verify this NPI
Provider Name: JEFFREY PRAUSE DC
Gender: Male
Entity Type: Individual
Location Address: 512 N YOUNG ST STE C KENNEWICK, WA 99336
Location Phone: (509) 736-2225
Mailing Address: 512 N YOUNG ST STE C KENNEWICK, WA 99336
Mailing Phone: (509) 736-2225
Medical School Name: OTHER
Graduation Year: 2018
Is Sole Proprietor?: Yes
Enumeration Date: 05-16-2019
Last Update Date: 06-11-2019
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A chiropractor like Jeffrey Prause helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Chiropractor
Taxonomy Code: 111N00000X
Type: Chiropractic Providers
License No.: 11090849-1202
License State: UT
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold - PPO
Premera Blue Cross Preferred Bronze 5800 HSA - PPO
Premera Blue Cross Preferred Bronze 6350 - PPO
Premera Blue Cross Preferred Gold 1500 - PPO
Premera Blue Cross Preferred Silver 4500 - PPO
Premera Blue Cross Standard Bronze II - PPO
Premera Blue Cross Standard Gold - PPO
Premera Blue Cross Standard Silver - PPO
Premera Blue Cross Family Dental - PPO
Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jeffrey Prause is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

PECOS PAC ID: 8628401221
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20191212002851
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.