Jason Michael Fredericks, DC
NPI 1669689295ActiveIndividual· Chiropractor· Bloomington, MN
Chiropractor (DC) in Bloomington, Minnesota, trained at Northwestern College of Chiropractic (class of 1998). Enrolled in Medicare as practitioner - chiropractic.
Overview
| NPI | 1669689295 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DC |
| Sole proprietor | Yes |
| NPI issued | May 16, 2007 |
| Last updated in NPPES | Mar 6, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 3651 | 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) |
|---|
Education and affiliations
| Medical school | Northwestern College of Chiropractic |
|---|---|
| Graduation year | 1998 |
| 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
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