DR. JENNIFER ELYSE PEDERSEN DC
NPI 1689759383
Chiropractor in Detroit Lakes, MN

Active since October 25, 2006Accepts Medicare Assignment
1131 JACKSON AVE, DETROIT LAKES, MN 56501(218) 844-5050(218) 844-5049 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer Elyse Pedersen Dc NPPES

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

DR. JENNIFER ELYSE PEDERSEN DC (NPI 1689759383) is an individual chiropractor in Detroit Lakes, Minnesota, licensed in Minnesota (4079) and active in the NPI registry since October 2006. She is a graduate of Northwestern College Of Chiropractic (2001).

NPPES Registry Identity

NPI1689759383
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JENNIFER ELYSE PEDERSENCredential: DC
Location Address1131 JACKSON AVEDetroit Lakes, MN 56501-3618
Mailing Address1131 Jackson AveDetroit Lakes, MN 56501-3618 · (218) 844-5050 · Fax (218) 844-5049
Fax(218) 844-5049
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2001
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
NPI 1689759383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 4079
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 ListedAcupuncturistTaxonomy 171100000X · License 575 (MN)
1131 JACKSON AVE, Detroit Lakes, MN 56501

Other Identifiers 12

Medicaid020960100MN
Other242T6NOClinic #
Other350002650Medicare Provider #
Other134208196Employer # Fed #
Other4079License #
Other0908Hsm
Other242T7PEBcbs Provider #
Other89749Health Partners
Other647163Chirocare #
OtherP00229402Railroad
Other020960100Mhcp Health Care
Other575Accupuncture #

Accepted 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. Jennifer Elyse Pedersen 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 ID2163463662
PECOS Enrollment IDI20050516000115

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.
717 services109 patients

Other Providers at the Same Location NPPES 2

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

Eyewear Supplier
1131 JACKSON AVE
DETROIT LAKES, MN 56501
Psychiatry & Neurology (Psychiatry)
1131 JACKSON AVE
DETROIT LAKES, MN 56501

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 Jennifer Pedersen's NPI number?

The NPI number for Jennifer Pedersen is 1689759383. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Jennifer Pedersen located?

Jennifer Pedersen practices at 1131 Jackson Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 844-5050.

What is Jennifer Pedersen's specialty?

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

Is Jennifer Pedersen enrolled in Medicare?

Yes. Jennifer Pedersen 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 Jennifer Pedersen accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Jennifer Pedersen 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 Jennifer Pedersen was last updated on September 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.