Individual provider Active NPI

Jillian Klemek, D.C.

  • Chiropractor
  • Parkers Prairie, MN
National Provider Identifier
1609328251
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6276 Issued in MN
Practice address
115 W Soo St
Parkers Prairie, MN 56361-4400
Phone
(218) 338-2492
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6276 MN Primary

Addresses

Primary practice location

115 W Soo St
Parkers Prairie, MN 56361-4400

Mailing address

115 W Soo St
Parkers Prairie, MN 56361-4400
Phone (218) 338-2492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213000789 MN Practitioner - Chiropractic 9335429166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

115 W Soo St
Parkers Prairie, MN 56361-4400
Phone (218) 338-2492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Klemek Chiropractic Chiropractor CurrentSince Nov 10, 2016 Accepting new patients
Kramer Chiropractic P.a. PastSince Dec 5, 2016 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1609328251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SOO ST",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "563614400",
            "telephone_number": "218-338-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SOO ST",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "563614400",
            "telephone_number": "218-338-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMEK",
        "first_name": "JILLIAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkers Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.