Individual provider Active NPI

Jason Kirk Eller, D.C.

  • Chiropractor
  • Grand Rapids, MN
National Provider Identifier
1255736146
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5984 Issued in MN
Practice address
423 NE 4TH St Ste 1
Grand Rapids, MN 55744-2968
Phone
(218) 326-8283
Fax
(218) 326-8275
NPI assigned
Nov 4, 2014
Last updated
Nov 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5984 MN Primary

Addresses

Primary practice location

423 NE 4TH St Ste 1
Grand Rapids, MN 55744-2968

Mailing address

423 NE 4TH St Ste 1
Grand Rapids, MN 55744-2968
Phone (218) 326-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180406001732 IA Practitioner - Chiropractic 5092038190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Rittgers IncGroup PAC ID 9436474541, 3 clinicians

Practice addresses (Care Compare)

310 NW 7TH St
Suite 200
Pocahontas, IA 50574-1416
Phone (712) 358-2611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5984MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Parkersburg Chiropractic, P.C. Chiropractor CurrentSince Mar 19, 2018 Accepting new patients
J Rittgers, Inc. Chiropractor CurrentSince Dec 27, 2024 Accepting new patients
University Chiropractic, P.C. Chiropractor CurrentSince Mar 19, 2018 Accepting new patients

Locations

310 NW 7th St
Ste 200
Pocahontas, IA 50574
Phone (712) 335-4212

2807 University Ave
Waterloo, IA 50701
Phone (319) 233-6363

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1255736146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 NE 4TH ST STE 1",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442968",
            "telephone_number": "218-326-8283",
            "fax_number": "218-326-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 NE 4TH ST STE 1",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442968",
            "telephone_number": "218-326-8283",
            "fax_number": "218-326-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "JASON",
        "middle_name": "KIRK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.