Individual provider Active NPI

Jeremy Jay Nielson, D.C.

  • Chiropractor
  • St Louis Park, MN
National Provider Identifier
1831405703
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5262 Issued in MN
Practice address
5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone
(952) 925-4085
Fax
(952) 925-1394
NPI assigned
Aug 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 5262 MN Primary

Addresses

Primary practice location

5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470

Mailing address

5050 W 36TH St Ste 100
St Louis Park, MN 55416-5470
Phone (952) 925-4085

Other practice location 1

2510 Maple Grove Rd Ste 200
Duluth, MN 55811-1824
Phone (218) 722-9300

Other practice location 2

518 Central Ave
Osseo, MN 55369-1129
Phone (763) 425-5525

Other practice location 3

14450 S Robert Trl Ste 208
Rosemount, MN 55068-4952
Phone (651) 423-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110527000429 MN Practitioner - Chiropractic 8527245604 Reassigns benefits to 1 organization
I20220907003947 FL Practitioner - Chiropractic 8527245604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nielson Family Chiropractic LLCGroup PAC ID 0648446930, 9 clinicians

Practice addresses (Care Compare)

14450 S Robert TRL
Suite 208
Rosemount, MN 55068-4952
Phone (651) 423-2251

2510 Maple Grove Rd
Suite 200
Duluth, MN 55811-1824
Phone (218) 722-9300

5050 W 36TH St
Suite 100
St Louis Park, MN 55416-5470
Phone (952) 925-4085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Belde Chiropractic Clinic, PA Chiropractor CurrentSince Nov 1, 2012 Accepting new patients

Locations

211 Highway 25 S
Monticello, MN 55362
Phone (651) 334-1290

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": "1283040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1831405703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085",
            "fax_number": "952-925-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085",
            "fax_number": "952-925-1394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Maple Grove Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558111824",
            "country_code": "US",
            "telephone_number": "218-722-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Osseo",
            "state": "MN",
            "postal_code": "553691129",
            "country_code": "US",
            "telephone_number": "763-425-5525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14450 S Robert Trl Ste 208",
            "address_purpose": "LOCATION",
            "city": "Rosemount",
            "state": "MN",
            "postal_code": "550684952",
            "country_code": "US",
            "telephone_number": "651-423-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "JEREMY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-29",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.