DR. JACOB WALLER (D.C.) – Chiropractor, NPI 1609954650

DR. JACOB WALLER (D.C.) is a healthcare provider. based in Everett, Washington. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CH34455 (WA). The NPI Number for DR. JACOB WALLER (D.C.) is 1609954650

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB WALLER (D.C.)
NPI
1609954650
Phone
(425) 338-5537
Address
10315 19TH AVE SE
Enumeration Date
1 November 2006
Last Update Date
25 March 2016

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Secondary Phone
4258988000
Graduation Year
2004 (22 years ago)
PAC ID
4587687553
Group Practice PAC ID
3173925625
Professional Enrollment ID
I20060105000628
Address ID
WA980532073RE23515RDXX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

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Provider Addresses for DR. JACOB WALLER (D.C.)

  • 10315, 19th Avenue Southeast, Everett, Snohomish County, Washington, 98208, United States

    SUITE 106

    EVERETT, WA 982084268

    Phone: (425) 338-5537

    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: 2006-01-05

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
I20060105000628IChiropracticWATBD

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 98208)

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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: 3173925625View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JACOB WALLER (D.C.)?
DR. JACOB WALLER (D.C.) — NPI 1609954650 — is the standard way to identify this listing.
Does CMS list DR. JACOB WALLER (D.C.) as active?
Yes — DR. JACOB WALLER (D.C.) is active in the NPI listing used on this page.
What taxonomy line describes DR. JACOB WALLER (D.C.)?
For research purposes, treat DR. JACOB WALLER (D.C.) as Chiropractor in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. JACOB WALLER (D.C.) list a practice location?
Patients near Everett, Washington may find DR. JACOB WALLER (D.C.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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