DR. JENNIFER ASHLY DORN (DC) – Chiropractor, NPI 1033730890

DR. JENNIFER ASHLY DORN (DC) is a healthcare provider. based in Shakopee, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6728 (MN). The NPI Number for DR. JENNIFER ASHLY DORN (DC) is 1033730890

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER ASHLY DORN (DC)
NPI
1033730890
Phone
(612) 720-3902
Address
603 ROUNDHOUSE ST
Enumeration Date
4 May 2020
Last Update Date
4 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524455250
Graduation Year
2020 (6 years ago)
PAC ID
0840611455
Group Practice PAC ID
2365521556
Professional Enrollment ID
I20200608002314
Address ID
MN553793372SH1755XEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for DR. JENNIFER ASHLY DORN (DC)

  • 603 ROUNDHOUSE ST

    SHAKOPEE, MN 553791891

    Phone: (612) 720-3902

    Type: Mailing

  • 1755 17TH AVE E

    SHAKOPEE, MN 553793372

    Phone: (952) 445-5250

    Type: Location

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: 2020-06-08

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
I20200608002314IChiropracticMNTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions5411$0
View full utilization report →

Insurance plans in this area (ZIP 55379)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365521556View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
-MN

Reviews

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Frequently asked questions

Does DR. JENNIFER ASHLY DORN (DC) have a public NPI I can cite?
Public records show DR. JENNIFER ASHLY DORN (DC) under NPI 1033730890.
Should I treat DR. JENNIFER ASHLY DORN (DC) as an active provider?
Patients and plans typically see DR. JENNIFER ASHLY DORN (DC) as active in the national extract.
How should patients interpret DR. JENNIFER ASHLY DORN (DC)'s specialty?
The extract shows Chiropractor for DR. JENNIFER ASHLY DORN (DC). Clinical services aligned with this taxonomy classification.
Can patients visit DR. JENNIFER ASHLY DORN (DC) in Shakopee, Minnesota?
For routing, start with Shakopee, Minnesota for DR. JENNIFER ASHLY DORN (DC), then verify phone and hours locally.
Why is information missing for DR. JENNIFER ASHLY DORN (DC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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