DR. JEDEDIAH MOORE D.C.
NPI 1811246192
Chiropractor in Elk River, MN
About Dr. Jedediah Moore D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEDEDIAH MOORE D.C. (NPI 1811246192) is an individual chiropractor in Elk River, Minnesota, licensed in Minnesota (5700) and active in the NPI registry since September 2012. He is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jedediah Moore 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.
Medicare Billing Reassignment
Medicare enrollment records show Jedediah Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baxter, MN 56401
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Jedediah Moore's NPI number?
The NPI number for Jedediah Moore is 1811246192. It was assigned to this individual provider in the NPPES registry on September 2, 2012.
Where is Jedediah Moore located?
Jedediah Moore practices at 19332 Highway 169, Elk River, MN 55330. The listed phone number is (763) 441-7788.
What is Jedediah Moore's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jedediah Moore enrolled in Medicare?
Yes. Jedediah Moore 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.
Which organization bills Medicare for Jedediah Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jedediah Moore reassigns Medicare benefits to Crow Wing Chiropractic PC (Baxter, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jedediah Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jedediah Moore accept?
Health plans from HealthPartners list Jedediah Moore 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 Jedediah Moore was last updated on September 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jedediah Moore, D.C. · NPI 1811246192
Chiropractor provider in Elk River, Minnesota. Individual provider, active in the CMS NPPES registry since September 2, 2012.
## Identity
- **NPI:** 1811246192 (Entity type: Individual)
- **Enumerated:** September 2, 2012
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5700 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 19332 HIGHWAY 169, Elk River, MN 55330-4645
- **Phone:** (763) 441-7788
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Crow Wing Chiropractic PC (NPI 1154741288, Baxter, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 2, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1811246192) · Data from the CMS NPPES public registry.