JACOB WILSON (D.C) – Chiropractor, NPI 1669241840

JACOB WILSON (D.C) is a healthcare provider. based in New castle, Pennsylvania. specializing in CHIROPRACTIC. They hold the professional credentials D.C. They hold a License No. DC011893 (PA). The NPI Number for JACOB WILSON (D.C) is 1669241840

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JACOB WILSON (D.C)
NPI
1669241840
Phone
(724) 856-8390
Address
2540 NEW BUTLER RD STE 201
Enumeration Date
28 December 2023
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
7248568390
Graduation Year
2023 (3 years ago)
PAC ID
5890147581
Group Practice PAC ID
4789711656
Professional Enrollment ID
I20240118001165
Address ID
PA161013225NE2540XRDXX401
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

1,957 CHIROPRACTIC in PA

Provider Addresses for JACOB WILSON (D.C)

  • 2540 NEW BUTLER RD STE 201

    NEW CASTLE, PA 161013231

    Phone: (724) 856-8390

    Fax: (724) 856-8573

    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: 2024-01-18

PECOS data refreshed: 2026-06-15

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
I20240118001165IChiropracticPATBD

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 16101)

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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: 4789711656View full group profile
NameSpecialtyState
C H I R O P R A C T I CPA

Reviews

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Frequently asked questions

What is JACOB WILSON (D.C)'s NPI number?
JACOB WILSON (D.C)'s NPI is 1669241840 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to JACOB WILSON (D.C)?
You should see JACOB WILSON (D.C) as active in CMS-hosted NPPES data.
What kind of doctor is JACOB WILSON (D.C)?
JACOB WILSON (D.C) is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is JACOB WILSON (D.C) registered?
Use New Castle, Pennsylvania as the headline location for JACOB WILSON (D.C) here.
When was this NPI issued?
Enumeration for JACOB WILSON (D.C) is noted as December 28, 2023 where the registry provides it.

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