JACLYN EHL – Chiropractor, NPI 1073095949

JACLYN EHL is a healthcare provider. based in Madison, Wisconsin. specializing in CHIROPRACTIC. They hold a License No. 5335-12 (WI). The NPI Number for JACLYN EHL is 1073095949

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JACLYN EHL
NPI
1073095949
Phone
(608) 841-2288
Address
6515 GRAND TETON PLZ STE 100
Enumeration Date
6 September 2018
Last Update Date
6 September 2018

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
6083182410
Graduation Year
2018 (8 years ago)
PAC ID
9739412669
Group Practice PAC ID
4284701335
Professional Enrollment ID
I20190610000604
Address ID
WI535903100SU1777XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

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Provider Addresses for JACLYN EHL

  • Grand Teton Plaza, Madison, Dane County, Wisconsin, 53719, United States

    MADISON, WI 537191048

    Phone: (608) 841-2288

    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: 2019-06-10

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
I20190610000604IChiropracticWITBD

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 regions1,749214$0
View full utilization report →

Insurance plans in this area (ZIP 53719)

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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: 4284701335View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
C H I R O P R A C T I CWI
C H I R O P R A C T I CWI

Reviews

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Frequently asked questions

What identifier follows JACLYN EHL across health systems?
The NPI 1073095949 uniquely identifies JACLYN EHL in U.S. healthcare data.
Does the public listing show JACLYN EHL as active?
JACLYN EHL's NPI record reflects an active status in NPPES.
What does the directory say JACLYN EHL does?
Insurance directories may phrase it differently, but here JACLYN EHL maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to JACLYN EHL?
The directory associates JACLYN EHL with Madison, Wisconsin. Check all listed addresses for suites or satellite offices.
Why is information missing for JACLYN EHL?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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