Jerrald C. Miller, D.C.
NPI 1104992379ActiveIndividual· Chiropractor· Shakopee, MN
Chiropractor (D.C.) in Shakopee, Minnesota, trained at Northwestern College of Chiropractic (class of 2006). Medicare paid $3,651 for services to 15 patients in 2024.
Overview
| NPI | 1104992379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | Yes |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Dec 17, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 4822 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 128 across 2 procedure codes |
| Paid by Medicare | $3,651 |
Education and affiliations
| Medical school | Northwestern College of Chiropractic |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Chiropractic |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Chiropractor providers in Shakopee
- 1972819290
- 1073158879
- 1356513592
- 1790026441
- 1366910440
- 1780721787
- 1538481734
- 1962707703
- 1710140611
- 1386208650
- 1760537864
- 1457156366