Jennifer Elyse Pedersen, DC
Chiropractor · Detroit Lakes, MN
Jennifer Elyse Pedersen, DC is a chiropractor with a practice address in Detroit Lakes, Minnesota, and NPI 1689759383, issued on Oct 25, 2006. Check the license (Minnesota 4079, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jennifer Elyse Pedersen
- Credential
- DC
- Primary taxonomy
- Chiropractor 111N00000X
- License numbers
- 4079 MN
575 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1131 Jackson Ave, Detroit Lakes, MN 56501
- Phone
- (218) 844-5050
- Enumerated
- Oct 25, 2006
- Record last updated
- Sep 13, 2023
- Fax
- (218) 844-5049
- Medicaid ID
- 020960100 MN
- Medicare enrollment
- Enrolled (PECOS I20050516000115); accepts Medicare assignment
- Medical or professional school
- Northwestern College Of Chiropractic, 2001
- Entity
- Type 1 · individual
8 nearest chiropractor records → All 3,377 in Minnesota → Look up another NPI →
Verify Jennifer Elyse Pedersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 4079Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jennifer Elyse Pedersen among 3,377 chiropractor records in Minnesota
Jennifer Elyse Pedersen, DC is one of 3,377 chiropractor records with a practice address in Minnesota. 24% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 69% newer
- In a Medicare fileNo · 24% of these records are
- In the CMS Doctors and Clinicians fileYes · 45% of these records are
- Graduated2001 · median 2007 among the 1,518 with a school on file
- Record last updated2023 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111N00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
9 chiropractor records list a practice address in Detroit Lakes
They are 9 of the 438 NPPES records with a practice address in Detroit Lakes, and 3,377 chiropractor records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,377 in Minnesota → Every provider in Detroit Lakes → Chiropractor nationwide →
The 8 chiropractor records with the nearest ZIP codes
- Paul Bender, D.C.Detroit Lakes, MN 565011073671764
- Jonathon Haug, D.C.Detroit Lakes, MN 565011174672646
- Jay Johnson, D.C.Detroit Lakes, MN 565011679760219
- Dustin Johnson, DCDetroit Lakes, MN 565011770841405
- David Laudon, D.C.Detroit Lakes, MN 565011427180652
- Sara Skadsem, D.C.Detroit Lakes, MN 565011700809423
- Ryan Weum, D.C.Detroit Lakes, MN 565011780768507
- Thomas Wilson, DCDetroit Lakes, MN 565011679538565
Common questions
What is Jennifer Elyse Pedersen, DC's NPI number?
Jennifer Elyse Pedersen, DC's National Provider Identifier (NPI) is 1689759383, issued on Oct 25, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer Elyse Pedersen, DC located?
The NPPES record lists a practice address at 1131 Jackson Ave, Detroit Lakes, MN, 56501. Phone: (218) 844-5050. Providers update this record themselves, so call before visiting.
How can I verify Jennifer Elyse Pedersen, DC's license?
NPPES lists Minnesota license number 4079, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.