JACOB B GUNDERSON DC, ATC
NPI 1780157669
Chiropractor in Elk River, MN

Active since January 03, 2019Accepts Medicare Assignment
19260 EVANS ST NW, ELK RIVER, MN 55330(763) 441-7788 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob B Gunderson Dc, Atc NPPES

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

JACOB B GUNDERSON DC, ATC (NPI 1780157669) is an individual chiropractor in Elk River, Minnesota, licensed in Minnesota (7215) and active in the NPI registry since January 2019. He is a graduate of Northwestern College Of Chiropractic (2023).

NPPES Registry Identity

NPI1780157669
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACOB B GUNDERSONCredential: DC, ATC
Location Address19260 EVANS ST NWElk River, MN 55330-1076
Mailing Address19260 Evans St NwElk River, MN 55330-1076 · (763) 441-7788
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2023
Enumeration DateJanuary 3, 2019
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1780157669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 7215
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 ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
19260 EVANS ST NW, Elk River, MN 55330

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

Jacob B Gunderson Dc, Atc 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 ID6901245992
PECOS Enrollment IDI20240424000988

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.

Massage Therapist
19260 EVANS ST NW
ELK RIVER, MN 55330
Chiropractor
19260 EVANS ST NW
ELK RIVER, MN 55330

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 Jacob Gunderson's NPI number?

The NPI number for Jacob Gunderson is 1780157669. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Jacob Gunderson located?

Jacob Gunderson practices at 19260 Evans St NW, Elk River, MN 55330. The listed phone number is (763) 441-7788.

What is Jacob Gunderson's specialty?

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

Is Jacob Gunderson enrolled in Medicare?

Yes. Jacob Gunderson 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 Jacob Gunderson accept?

Health plans from HealthPartners and Medica list Jacob Gunderson 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 Jacob Gunderson was last updated on February 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.