JACOB LEE (D.C.) – Chiropractor, NPI 1033969779

JACOB LEE (D.C.) is a healthcare provider. based in Maple valley, Washington. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 61522990 (WA). The NPI Number for JACOB LEE (D.C.) is 1033969779

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JACOB LEE (D.C.)
NPI
1033969779
Phone
(253) 628-2424
Address
27203 216TH AVE SE STE 1
Enumeration Date
25 March 2024
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
2536382424
Graduation Year
2023 (3 years ago)
PAC ID
2961990601
Group Practice PAC ID
0648262428
Professional Enrollment ID
I20251023002812
Address ID
WA980383273MA27203SEXX401
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

1,415 CHIROPRACTIC in WA

Provider Addresses for JACOB LEE (D.C.)

  • 27203 216TH AVE SE STE 1

    MAPLE VALLEY, WA 980383273

    Phone: (253) 628-2424

    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: 2025-10-23

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
I20251023002812IChiropracticWATBD

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 98038)

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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: 0648262428View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

Does JACOB LEE (D.C.) have a public NPI I can cite?
Public records show JACOB LEE (D.C.) under NPI 1033969779.
Should I treat JACOB LEE (D.C.) as an active provider?
Patients and plans typically see JACOB LEE (D.C.) as active in the national extract.
What does the directory say JACOB LEE (D.C.) does?
Insurance directories may phrase it differently, but here JACOB LEE (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
Can patients visit JACOB LEE (D.C.) in Maple Valley, Washington?
For routing, start with Maple Valley, Washington for JACOB LEE (D.C.), then verify phone and hours locally.
Can I export JACOB LEE (D.C.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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