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DE PERE CHIROPRACTIC CENTER, LLC
NPI 1083600654
Chiropractor in De Pere, WI

Active since September 20, 2005
820 GEORGE ST, DE PERE, WI 54115(920) 336-2921(920) 425-4196 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, Mar 21, 2018 (2 updates tracked since 2018).

About De Pere Chiropractic Center, Llc NPPES

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

DE PERE CHIROPRACTIC CENTER, LLC (NPI 1083600654), doing business as De Pere Chiropractic Center, is a healthcare organization registered as a chiropractor in De Pere, Wisconsin and active in the NPI registry since September 2005. The organization lists Jaceson L. Hauser, Owner, as its authorized official.

NPPES Registry Identity

NPI1083600654
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDE PERE CHIROPRACTIC CENTER, LLC
Location Address820 GEORGE STDe Pere, WI 54115-2916
Mailing Address820 George StDe Pere, WI 54115-2916 · (920) 336-2921 · Fax (920) 425-4196
Phone(920) 336-2921
Fax(920) 425-4196
Organization SubpartNo
Authorized OfficialJaceson L. HauserOwner · (920) 336-2921
Enumeration DateSeptember 20, 2005
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1083600654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
820 GEORGE ST, De Pere, WI 54115
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Other Names 1

Doing Business AsDe Pere Chiropractic Center

Other Identifiers 1

Medicaid38991400WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De Pere Chiropractic Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to De Pere Chiropractic Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jaceson Hauser, DC
Chiropractic
NPI 1972788297
820 GEORGE ST
De Pere, WI 54115
(920) 336-2921
✔ Accepts MedicareSame address
Spencer Woodward, DC
Chiropractic
NPI 1093701567
820 GEORGE ST
De Pere, WI 54115
(920) 336-2921
✔ Accepts MedicareSame address

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

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 De Pere Chiropractic Center, LLC's NPI number?

The NPI number for De Pere Chiropractic Center, LLC is 1083600654. It was assigned to this organization in the NPPES registry on September 20, 2005. The provider is doing business as De Pere Chiropractic Center.

Where is De Pere Chiropractic Center, LLC located?

De Pere Chiropractic Center, LLC is located at 820 George St, De Pere, WI 54115. The listed phone number is (920) 336-2921.

What is De Pere Chiropractic Center, LLC's specialty?

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

Is De Pere Chiropractic Center, LLC enrolled in Medicare?

Yes. De Pere Chiropractic Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through De Pere Chiropractic Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to De Pere Chiropractic Center, LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does De Pere Chiropractic Center, LLC accept?

Health plans from CareSource (Common Ground Healthcare) and HealthPartners list De Pere Chiropractic Center, LLC 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 De Pere Chiropractic Center, LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.