Individual provider Active NPI

Jacob Groen, DC

  • Chiropractor
  • Renville, MN
National Provider Identifier
1285403261
Registry record updated Oct 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7162 Issued in MN
Practice address
107 Dupont Ave NW
Renville, MN 56284-3352
Phone
(320) 329-8185
NPI assigned
Jan 1, 2024
Last updated
Oct 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7162 MN Primary

Addresses

Primary practice location

107 Dupont Ave NW
Renville, MN 56284-3352

Mailing address

107 Dupont Ave NW
Renville, MN 56284-3352
Phone (320) 329-8185

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221002328 MN Practitioner - Chiropractic 1456795137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madsen Family Chiropractic PLLCGroup PAC ID 1951713528, 3 clinicians

Practice addresses (Care Compare)

1317 Grove Ave
Montevideo, MN 56265-1708
Phone (320) 269-7135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moseng Chiropractic PLLP Chiropractor CurrentSince Jan 7, 2024 Accepting new patients
Madsen Family Chiropractic, PLLC Chiropractor CurrentSince Jan 1, 2024 Accepting new patients

Locations

1317 Grove Ave
Montevideo, MN 56265
Phone (320) 269-6416

525 Legion Dr
Ste 1
Montevideo, MN 56265
Phone (320) 269-2929

Organizations & group practices 2

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791676800000",
    "number": "1285403261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DUPONT AVE NW",
            "city": "RENVILLE",
            "state": "MN",
            "postal_code": "562843352",
            "telephone_number": "320-329-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 DUPONT AVE NW",
            "city": "RENVILLE",
            "state": "MN",
            "postal_code": "562843352",
            "telephone_number": "320-329-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEN",
        "first_name": "JACOB",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-01",
        "last_updated": "2026-10-11",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2026; 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.