Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jason Michael Fredericks, DC

Individual provider Chiropractor · NPI 1669689295

Dr. Jason Michael Fredericks, DC is a Chiropractic in Bloomington, Minnesota. Graduated from Northwestern College of Chiropractic in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

8200 Humboldt Ave S Ste 204
Bloomington, MN 55431-1432
Phone: (952) 884-6144
Fax: (952) 884-9180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 3651 (MN)

Record details

NPI number1669689295
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESMarch 6, 2017
Mailing address8200 Humboldt Ave S, Ste 204, Bloomington, MN 55431-1432

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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