Individual provider Active NPI

Jayme Lynn Moulton, DC

  • Chiropractor
  • Mound, MN
National Provider Identifier
1912229840
Registry record updated Dec 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5307 Issued in MN
Practice address
2305 Commerce Blvd
Mound, MN 55364-1493
Phone
(952) 471-2560
Fax
(952) 471-2465
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Chiropractic Clinic PA 5 clinicians

Practice addresses (Care Compare)

1262 Crossing Dr
Delano, MN 55328-4637
Phone (763) 972-3447

2305 Commerce Blvd
Mound, MN 55364-1493
Phone (952) 471-2560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000120 MN Practitioner - Chiropractic 4385775196 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Chiropractic Health Centre PA Chiropractor CurrentSince Mar 29, 2010 Accepting new patients
Thompson Chiropractic Clinic PA Chiropractor CurrentSince Jan 1, 2026 Accepting new patients

Locations

1262 Crossing Dr
Delano, MN 55328
Phone (763) 972-3447

2305 Commerce Blvd
Mound, MN 55364
Phone (952) 471-2560

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5307 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

2305 Commerce Blvd
Mound, MN 55364-1493

Mailing address

2305 Commerce Blvd
Mound, MN 55364-1493
Phone (952) 471-2560

Other practice location 1

1262 Crossing Dr
Delano, MN 55328-4637
Phone (763) 972-3447

Other names 1

NPPES NPI Registry
  • Dr. Jayme Lynn Clayton Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2025.

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1912229840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 COMMERCE BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641493",
            "telephone_number": "952-471-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 COMMERCE BLVD",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553641493",
            "telephone_number": "952-471-2560",
            "fax_number": "952-471-2465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1262 Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "MN",
            "postal_code": "553284637",
            "country_code": "US",
            "telephone_number": "763-972-3447",
            "fax_number": "763-972-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOULTON",
        "first_name": "JAYME",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYME",
            "last_name": "CLAYTON",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mound, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; 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.