DR. SHANE JACOBI (DC) – Chiropractor, NPI 1265169619

DR. SHANE JACOBI (DC) is a healthcare provider. based in Aston, Pennsylvania. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. DC011765 (PA). The NPI Number for DR. SHANE JACOBI (DC) is 1265169619

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANE JACOBI (DC)
NPI
1265169619
Phone
(610) 485-5001
Address
2770 Concord Rd
Enumeration Date
5 August 2022
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
4849998142
Graduation Year
2021 (5 years ago)
PAC ID
9931548955
Group Practice PAC ID
0749525178
Professional Enrollment ID
I20240423002774
Address ID
PA193827979WE1646XPIKE402

Contacts

Main Contact
innovativefrontdesk@gmail.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

1,950 CHIROPRACTIC in PA

Provider Addresses for DR. SHANE JACOBI (DC)

  • 2770 Concord Rd

    Aston, PA 190142940

    Phone: (610) 485-5001

    Type: Location

  • 1646 W CHESTER PIKE STE 20

    WEST CHESTER, PA 193827979

    Phone: (484) 999-8142

    Fax: (484) 999-8365

    Type: Mailing

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: 2024-04-23

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
I20240423002774IChiropracticPATBD

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 19014)

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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: 0749525178View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
C H I R O P R A C T I CPA
-PA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. SHANE JACOBI (DC)?
NPI 1265169619 is assigned to DR. SHANE JACOBI (DC) under the national enumeration system.
Is DR. SHANE JACOBI (DC) active in the national directory?
DR. SHANE JACOBI (DC)'s public NPI profile is in an active state.
Does DR. SHANE JACOBI (DC) list a primary specialty?
If you are matching referrals, note Chiropractor for DR. SHANE JACOBI (DC). Clinical services aligned with this taxonomy classification.
Does DR. SHANE JACOBI (DC) practice in Pennsylvania?
You will see Aston, Pennsylvania on file for DR. SHANE JACOBI (DC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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