DR. BENJAMIN JOSEPH DEGENHARDT (DC) – Chiropractor, NPI 1114657053

DR. BENJAMIN JOSEPH DEGENHARDT (DC) is a healthcare provider. based in Bloomington, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6986 (MN). The NPI Number for DR. BENJAMIN JOSEPH DEGENHARDT (DC) is 1114657053

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. BENJAMIN JOSEPH DEGENHARDT (DC)
NPI
1114657053
Phone
(608) 769-1386
Address
8009 WASHBURN CIR S UNIT 2
Enumeration Date
14 June 2022
Last Update Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517346359
Graduation Year
2022 (4 years ago)
PAC ID
6507390291
Group Practice PAC ID
5799934857
Professional Enrollment ID
I20241118002539
Address ID
MN551222642EA1565XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for DR. BENJAMIN JOSEPH DEGENHARDT (DC)

  • 8009 WASHBURN CIR S UNIT 2

    BLOOMINGTON, MN 554311263

    Phone: (608) 769-1386

    Type: Mailing

  • 3600 PLYMOUTH BLVD

    PLYMOUTH, MN 554463201

    Phone: (763) 519-3838

    Type: Location

  • 1555 QUARRY RD APT 443

    EAGAN, MN 551213532

    Phone: (608) 769-1386

    Type: Mailing

  • 1565 THOMAS CENTER DR

    EAGAN, MN 551222642

    Phone: (651) 734-6959

    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: 2024-11-18

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
I20241118002539IChiropracticMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55431)

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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: 5799934857View full group profile
NameSpecialtyState
C H I R O P R A C T I CMN
-NC
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CWI
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

What identifier follows DR. BENJAMIN JOSEPH DEGENHARDT (DC) across health systems?
The NPI 1114657053 uniquely identifies DR. BENJAMIN JOSEPH DEGENHARDT (DC) in U.S. healthcare data.
Is DR. BENJAMIN JOSEPH DEGENHARDT (DC) currently accepting referrals based on NPI status?
Registry metadata lists DR. BENJAMIN JOSEPH DEGENHARDT (DC) as active.
What services align with DR. BENJAMIN JOSEPH DEGENHARDT (DC)'s listing?
DR. BENJAMIN JOSEPH DEGENHARDT (DC)'s public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
Can patients visit DR. BENJAMIN JOSEPH DEGENHARDT (DC) in Bloomington, Minnesota?
For routing, start with Bloomington, Minnesota for DR. BENJAMIN JOSEPH DEGENHARDT (DC), then verify phone and hours locally.
Why is information missing for DR. BENJAMIN JOSEPH DEGENHARDT (DC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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