Individual provider Active NPI

Jennifer E. Gerken, D.C.

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1982083267
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020038136 Issued in MO
Practice address
9961 Winghaven Blvd
O Fallon, MO 63368-3623
Phone
(362) 652-5666
NPI assigned
May 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020038136 MO Primary

Addresses

Primary practice location

9961 Winghaven Blvd
O Fallon, MO 63368-3623

Mailing address

9961 Winghaven Blvd
O Fallon, MO 63368-3623
Phone (362) 652-5666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804003425 MO Practitioner - Chiropractic 5496066458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Chiropractic and Wellness CenterGroup PAC ID 5294873998, 2 clinicians

Practice addresses (Care Compare)

9961 Winghaven Blvd
Dr. Courtney Lehmen
O Fallon, MO 63368-3623
Phone (636) 252-2566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020038136MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic & Wellness Center Chiropractor CurrentSince Jun 19, 2025 Accepting new patients
Perez Family Chiropractic LLC Chiropractor PastSince Jan 1, 2022 Accepting new patients

Locations

9961 Winghaven Blvd
O Fallon, MO 63368
Phone (636) 252-2566

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1982083267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 WINGHAVEN BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683623",
            "telephone_number": "362-652-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 WINGHAVEN BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683623",
            "telephone_number": "362-652-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERKEN",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020038136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.