Jay Douglas Hildenbrand, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4305 Issued in MN

Practice address

3605 Mayfair Ave
Hibbing, MN 55746-2935

Phone

(218) 262-3441

Fax

(218) 362-6989

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Range Regional Health ServicesGroup PAC ID 8022920024, 349 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Range Regional Health Services Hospital, Hibbing, MN, CCN 240040

Merit-based Incentive Payment System (MIPS)

Final score

96.93 of 100Reported as group

Quality

94.88

Promoting interoperability

100

Improvement activities

40

Cost

78.21

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhildenbrand291728@fairview.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Range Regional Health Services

  • Clinic/Center
  • Hibbing, MN
  • NPI 1669569265

  MN

  Medicare reassignment Care Compare group NPD
• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699
  Care Compare group NPD
• Range Regional Health Services

  • Community Based Hospice Care Agency
  • Hibbing, MN
  • NPI 1427036169
  Care Compare group
• Range Regional Health Services

  • Home Health Agency
  • Hibbing, MN
  • NPI 1992782239
  Care Compare group
• Range Regional Health Services

  • Durable Medical Equipment & Medical Supplies
  • International Falls, MN
  • NPI 1710954821
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1215076591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 3RD AVE W",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462004",
            "telephone_number": "218-263-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MAYFAIR AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557462935",
            "telephone_number": "218-262-3441",
            "fax_number": "218-362-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDENBRAND",
        "first_name": "JAY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "350003966",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839655800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Helland, DPM
• Hibbing Dental Service PA
• Hibbing Family Chiropractic Inc
• Jillaine Helen Higgins, LAMFT
• Amy Kathleen Hilde-Philips, MD
• Leo L Hise II, D.O.
• Christine Aurene Holland, DC, QP
• James C Hooker, LMHC, MS
• Molly Horsmann, RN
• Susan Hoyum, M.D.

• All providers in Hibbing, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.