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DR. JASON MICHAEL FREDERICKS DC
NPI 1669689295
Chiropractor in Bloomington, MN

Active since May 16, 2007Accepts Medicare Assignment
8200 HUMBOLDT AVE S STE 204, BLOOMINGTON, MN 55431(952) 884-6144(952) 884-9180 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason Michael Fredericks Dc NPPES

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

DR. JASON MICHAEL FREDERICKS DC (NPI 1669689295) is an individual chiropractor in Bloomington, Minnesota, licensed in Minnesota (3651) and active in the NPI registry since May 2007. He is a graduate of Northwestern College Of Chiropractic (1998).

NPPES Registry Identity

NPI1669689295
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JASON MICHAEL FREDERICKSCredential: DC
Location Address8200 HUMBOLDT AVE S STE 204Bloomington, MN 55431-1432
Mailing Address8200 Humboldt Ave S, Ste 204Bloomington, MN 55431-1432 · (612) 386-0333
Phone(952) 884-6144
Fax(952) 884-9180
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 1998
Enumeration DateMay 16, 2007
Last NPPES UpdateMarch 6, 2017
✔ NPI 1669689295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3651
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.
8200 HUMBOLDT AVE S STE 204, Bloomington, MN 55431
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Other Identifiers 3

Medicare ID-Type Unspecified350002909MN
Medicaid5328276-00MN
Medicare UPINU73289MN

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. Jason Michael Fredericks 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 ID4688840234
PECOS Enrollment IDI20120103000122

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.

DR. DAVID PAUL PHILLIPS D.C.
Chiropractor
8200 HUMBOLDT AVE S STE 204
BLOOMINGTON, MN 55431
Hennepin County (952) 884-6144
DR. KEVIN ANTHONY BERG D.C.
Chiropractor
8200 HUMBOLDT AVE S STE 204
MINNEAPOLIS, MN 55431
Hennepin County (952) 884-6144
INSTITUTE FOR CHIROPRACTIC REHABILITATION PA
Chiropractor
8200 HUMBOLDT AVE S STE 204
BLOOMINGTON, MN 55431
Hennepin County (952) 884-6144

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 Fredericks's NPI number?

The NPI number for Jason Fredericks is 1669689295. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jason Fredericks located?

Jason Fredericks practices at 8200 Humboldt Ave S Ste 204, Bloomington, MN 55431. The listed phone number is (952) 884-6144.

What is Jason Fredericks's specialty?

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

Is Jason Fredericks enrolled in Medicare?

Yes. Jason Fredericks 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.

When was this NPI record last updated?

The NPPES record for Jason Fredericks was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.