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JACOB LEE D.C.
NPI 1033969779
Chiropractor in Maple Valley, WA

Active since March 25, 2024Accepts Medicare Assignment
27203 216TH AVE SE STE 1, MAPLE VALLEY, WA 98038(253) 638-2424 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Lee D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB LEE D.C. (NPI 1033969779) is an individual chiropractor in Maple Valley, Washington, licensed in Washington (61522990) and active in the NPI registry since March 2024. He is a graduate of Life Chiropractic College - West (2023).

NPPES Registry Identity

NPI1033969779
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACOB LEECredential: D.C.
Location Address27203 216TH AVE SE STE 1Maple Valley, WA 98038-3273
Mailing Address27203 216th Ave Se Ste 1Maple Valley, WA 98038-3273 · (253) 628-2424
Phone(253) 638-2424
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2023
Enumeration DateMarch 25, 2024
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1033969779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · 61522990
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
27203 216TH AVE SE STE 1, Maple Valley, WA 98038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Lee D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961990601
PECOS Enrollment IDI20251023002812

Medicare Billing Reassignment

Medicare enrollment records show Jacob Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pearson Chiropractic PLLC
3.6 mi
Rehabilitation
15610 SE 272ND ST STE A-106
Covington, WA 98042
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1235337940 (253) 638-2424

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA SCHROEDER LMP
Massage Therapist
27203 216TH AVE SE STE 1
MAPLE VALLEY, WA 98038
King County (425) 432-4621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Lee's NPI number?

The NPI number for Jacob Lee is 1033969779. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Jacob Lee located?

Jacob Lee practices at 27203 216th Ave SE Ste 1, Maple Valley, WA 98038. The listed phone number is (253) 638-2424.

What is Jacob Lee's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jacob Lee enrolled in Medicare?

Yes. Jacob Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacob Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Lee reassigns Medicare benefits to Pearson Chiropractic PLLC (Covington, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Lee accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jacob Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Lee was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.