CHAD JEREMY PETTERSON (DC) – Chiropractor, NPI 1003986886

CHAD JEREMY PETTERSON (DC) is a healthcare provider. based in Hastings, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 3748 (MN). The NPI Number for CHAD JEREMY PETTERSON (DC) is 1003986886

Main info

Male
28 Years Of Experience
Name
CHAD JEREMY PETTERSON (DC)
NPI
1003986886
Phone
(651) 480-1128
Address
825 BAHLS DRIVE
Enumeration Date
8 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
6514801128
Graduation Year
1998 (28 years ago)
PAC ID
7113992165
Professional Enrollment ID
I20040901000770
Address ID
MN550332573HA825XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for CHAD JEREMY PETTERSON (DC)

  • 825, Bahls Drive, Hastings, Dakota County, Minnesota, 55033, United States

    HASTINGS, MN 55033

    Phone: (651) 480-1128

    Fax: (651) 438-3929

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040901000770IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98940Chiropractic manipulative treatment, 1-2 spinal regions38125$0
View full utilization report →

Insurance plans in this area (ZIP 55033)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CHAD JEREMY PETTERSON (DC)?
CHAD JEREMY PETTERSON (DC) — NPI 1003986886 — is the standard way to identify this listing.
Does the file indicate CHAD JEREMY PETTERSON (DC) is practicing under active NPI?
Directory data currently reports CHAD JEREMY PETTERSON (DC) as active.
What is CHAD JEREMY PETTERSON (DC)'s specialty?
The listing groups CHAD JEREMY PETTERSON (DC) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where should I expect CHAD JEREMY PETTERSON (DC) on a map?
Expect Hastings, Minnesota as a primary anchor for CHAD JEREMY PETTERSON (DC) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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