JAKE JOSEPH CROMWELL (DC) – Chiropractor, NPI 1902689789

JAKE JOSEPH CROMWELL (DC) is a healthcare provider. based in Fenton, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 2023032424 (MO). The NPI Number for JAKE JOSEPH CROMWELL (DC) is 1902689789

Main info

Male
Sole Proprietor
3 Years Of Experience
Name
JAKE JOSEPH CROMWELL (DC)
NPI
1902689789
Phone
(636) 326-2525
Address
672D GRAVOIS BLUFFS BLVD # D
Enumeration Date
16 August 2023
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6363262525
Graduation Year
2023 (3 years ago)
PAC ID
6800242157
Group Practice PAC ID
6204837644
Professional Enrollment ID
I20231024001050
Address ID
MO630267756FE672XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

Provider Addresses for JAKE JOSEPH CROMWELL (DC)

  • 672D GRAVOIS BLUFFS BLVD # D

    FENTON, MO 630267714

    Phone: (636) 326-2525

    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: 2023-10-24

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
I20231024001050IChiropracticMOTBD

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 regions5115$0
View full utilization report →

Insurance plans in this area (ZIP 63026)

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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: 6204837644View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

What federal number belongs to JAKE JOSEPH CROMWELL (DC)?
The federal identifier for JAKE JOSEPH CROMWELL (DC) is NPI 1902689789.
Is JAKE JOSEPH CROMWELL (DC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JAKE JOSEPH CROMWELL (DC)?
The page reflects Chiropractor for JAKE JOSEPH CROMWELL (DC). Clinical services aligned with this taxonomy classification.
What location shows for JAKE JOSEPH CROMWELL (DC)?
We surface Fenton, Missouri for JAKE JOSEPH CROMWELL (DC) based on available NPPES addresses.
Is JAKE JOSEPH CROMWELL (DC) a real provider?
This page reflects official NPPES data for NPI 1902689789. Always confirm identity and privileges with the practice and licensing boards.

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