Jacob Groen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7162 Issued in MN

Practice address

525 Legion Dr Ste 1
Montevideo, MN 56265-1723

Phone

(320) 269-7135

NPI assigned

Jan 1, 2024

Sex

Male

Sole proprietor

Yes

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.

• Madsen Family Chiropractic, PLLC

  • Chiropractor
  • Montevideo, MN
  • NPI 1811594567
  Medicare reassignment Care Compare group NPD
• Moseng Chiropractic PLLP

  • Sports Physician Chiropractor
  • Montevideo, MN
  • NPI 1083120372

  Chiropractor

  NPD

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madsen Family Chiropractic PLLC 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MN

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 1, 2024.

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1285403261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 LEGION DR STE 1",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651723",
            "telephone_number": "320-269-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LEGION DR STE 1",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651723",
            "telephone_number": "320-269-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEN",
        "first_name": "JACOB",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Geerdes, OTR
• Caitlin Gilley, M.S., BCBA
• Brenda Kay Goldenstein, MS RN
• Marissa Ann Goplen, D.D.S.
• Pamela Rae Gregor
• Gunlogson Family Chiropractic, P.a.
• Jennifer Erin Gunlogson, D.C.
• Samuel Gunlogson, D.C.
• Patrick John Hanna, M.D.
• Ona Mae Hanson-Gustafson, MSW

• All providers in Montevideo, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.