JACK ERICKSON (DC) – Chiropractor, NPI 1194438374

JACK ERICKSON (DC) is a healthcare provider. based in Farmington, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 7040 (MN). The NPI Number for JACK ERICKSON (DC) is 1194438374

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JACK ERICKSON (DC)
NPI
1194438374
Phone
Not provided
Address
19153 ENCHANTED WAY
Enumeration Date
3 January 2023
Last Update Date
3 January 2023

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
6517346359
Graduation Year
2022 (4 years ago)
PAC ID
3577935824
Group Practice PAC ID
5799934857
Professional Enrollment ID
I20230214002207
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 JACK ERICKSON (DC)

  • 19153 ENCHANTED WAY

    FARMINGTON, MN 550248094

    Phone:

    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: 2023-02-14

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
I20230214002207IChiropracticMNTBD

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 55024)

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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
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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
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C H I R O P R A C T I CMN

Reviews

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Frequently asked questions

Does JACK ERICKSON (DC) have a public NPI I can cite?
Public records show JACK ERICKSON (DC) under NPI 1194438374.
Is JACK ERICKSON (DC)'s NPI status active today?
Active status means JACK ERICKSON (DC)'s NPI record is not deactivated in the public file.
What does the directory say JACK ERICKSON (DC) does?
Insurance directories may phrase it differently, but here JACK ERICKSON (DC) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
Is JACK ERICKSON (DC) tied to Farmington, Minnesota?
If you are local to Farmington, Minnesota, JACK ERICKSON (DC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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