DR. JACKSON BRADY FACINELLI (DC) – Chiropractor, NPI 1447060736

DR. JACKSON BRADY FACINELLI (DC) is a healthcare provider. based in Rock springs, Wyoming. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 867 (WY). The NPI Number for DR. JACKSON BRADY FACINELLI (DC) is 1447060736

Main info

Male
1 Year Of Experience
Name
DR. JACKSON BRADY FACINELLI (DC)
NPI
1447060736
Phone
(307) 362-5352
Address
706 ELK ST
Enumeration Date
9 January 2025
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3073625352
Graduation Year
2025 (1 year ago)
PAC ID
7113440124
Group Practice PAC ID
2961570510
Professional Enrollment ID
I20250401000118
Address ID
WY829015247RO706XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

107 CHIROPRACTIC in WY

Provider Addresses for DR. JACKSON BRADY FACINELLI (DC)

  • 706 ELK ST

    ROCK SPRINGS, WY 829015247

    Phone: (307) 362-5352

    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: 2025-04-01

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
I20250401000118IChiropracticWYTBD

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 82901)

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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: 2961570510View full group profile
NameSpecialtyState
C H I R O P R A C T I CWY
C H I R O P R A C T I CWY

Reviews

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Frequently asked questions

What federal number belongs to DR. JACKSON BRADY FACINELLI (DC)?
The federal identifier for DR. JACKSON BRADY FACINELLI (DC) is NPI 1447060736.
Does this profile mean DR. JACKSON BRADY FACINELLI (DC) is currently active?
Yes — DR. JACKSON BRADY FACINELLI (DC) appears active in the national provider directory.
What field does DR. JACKSON BRADY FACINELLI (DC) work in?
You can think of DR. JACKSON BRADY FACINELLI (DC) as practicing within Chiropractor. Clinical services aligned with this taxonomy classification.
Does DR. JACKSON BRADY FACINELLI (DC) practice in Wyoming?
You will see Rock Springs, Wyoming on file for DR. JACKSON BRADY FACINELLI (DC) alongside any extra practice locations.
Is DR. JACKSON BRADY FACINELLI (DC) a real provider?
This page reflects official NPPES data for NPI 1447060736. Always confirm identity and privileges with the practice and licensing boards.

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