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JEFFREY ANDREW MCDONALD DC
NPI 1972162550
Chiropractor in Bemidji, MN

Active since June 07, 2019
1900 DIVISION ST W UNIT 7, BEMIDJI, MN 56601(218) 444-5911 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 14, 2022, Jun 7, 2019 (2 updates tracked since 2019).

About Jeffrey Andrew Mcdonald Dc NPPES

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

JEFFREY ANDREW MCDONALD DC (NPI 1972162550) is an individual chiropractor in Bemidji, Minnesota, licensed in Minnesota (6632) and active in the NPI registry since June 2019. He is a graduate of Northwestern College Of Chiropractic (2019).

NPPES Registry Identity

NPI1972162550
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJEFFREY ANDREW MCDONALDCredential: DC
Location Address1900 DIVISION ST W UNIT 7Bemidji, MN 56601-6397
Mailing Address1900 Division St W Unit 7Bemidji, MN 56601-6397 · (218) 444-5911
Phone(218) 444-5911
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2019
Enumeration DateJune 7, 2019
Last NPPES UpdateJanuary 14, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1972162550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6632
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.
1900 DIVISION ST W UNIT 7, Bemidji, MN 56601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Andrew Mcdonald Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244564789
PECOS Enrollment IDI20190703000067

Medicare Billing Reassignments

2

Medicare enrollment records show Jeffrey Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deep Rock Chiropractic PC
Same address
Chiropractor
1900 DIVISION ST W UNIT 7
Bemidji, MN 56601
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1851051742 (218) 751-5910
Specific Health & Chiropractic PLLC
192 mi
Chiropractor
2785 WHITE BEAR AVE N STE 108
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1275192197 (651) 415-0418

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
60 services19 patients

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.

MCDONALD CHIROPRACTIC PLLC
Chiropractor
1900 DIVISION ST W UNIT 7
BEMIDJI, MN 56601
Beltrami County (218) 444-5911
DR. JOSEPH WADE EDLUND D.C.
Chiropractor
1900 DIVISION ST W UNIT 7
BEMIDJI, MN 56601
Beltrami County (218) 751-5910
DEEP ROCK CHIROPRACTIC PC
Chiropractor
1900 DIVISION ST W UNIT 7
BEMIDJI, MN 56601
Beltrami County (218) 751-5910

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 Jeffrey Mcdonald's NPI number?

The NPI number for Jeffrey Mcdonald is 1972162550. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Jeffrey Mcdonald located?

Jeffrey Mcdonald practices at 1900 Division St W Unit 7, Bemidji, MN 56601. The listed phone number is (218) 444-5911.

What is Jeffrey Mcdonald's specialty?

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

Is Jeffrey Mcdonald enrolled in Medicare?

Yes. Jeffrey Mcdonald is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeffrey Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Mcdonald reassigns Medicare benefits to 2 organizations: Deep Rock Chiropractic PC (Bemidji, MN) and Specific Health & Chiropractic PLLC (Maplewood, MN). Each 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 Jeffrey Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Mcdonald was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.