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MARTIN A JACOBSON DC
NPI 1104862929
Chiropractor in Green Bay, WI

Active since June 21, 2006Accepts Medicare Assignment
1160 KEPLER DR, GREEN BAY, WI 54311(920) 288-5656(920) 288-5657 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Martin A Jacobson Dc NPPES

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

MARTIN A JACOBSON DC (NPI 1104862929) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (2782) and active in the NPI registry since June 2006. He is a graduate of Palmer College Chiropractic - Davenport (1991).

NPPES Registry Identity

NPI1104862929
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMARTIN A JACOBSONCredential: DC
Location Address1160 KEPLER DRGreen Bay, WI 54311-8321
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Phone(920) 288-5656
Fax(920) 288-5657
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1991
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1104862929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2782
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.
1160 KEPLER DR, Green Bay, WI 54311
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Other Identifiers 1

Medicaid38871600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Martin A Jacobson Dc 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 ID1052355849
PECOS Enrollment IDI20050613001036

Medicare Billing Reassignment

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

Aurora Medical Group, Inc.
51 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461

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 20

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

ABIGAIL DOBBINS SLP
Speech-Language Pathologist
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-4700
DR. KATIE ROLLIN PSY.D.
Psychologist (Clinical)
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5500
ANGELINA COLEMAN OT
Occupational Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5400
JEFFRY JAMES YOUNG DO
Pediatrics
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5500
CHRISTINA ANNE MARIEN
Nurse Practitioner (Psychiatric/Mental Health)
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 278-1294
TREVOR C. PUGH DO
Preventive Medicine (Occupational Medicine)
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (833) 986-2170
BAYCARE CLINIC LLP
Orthopaedic Surgery
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5555
TAYLOR A KROLL PT, DPT
Physical Therapist
1160 KEPLER DR
GREEN BAY, WI 54311
Brown County (920) 288-5400

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 Martin Jacobson's NPI number?

The NPI number for Martin Jacobson is 1104862929. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Martin Jacobson located?

Martin Jacobson practices at 1160 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 288-5656.

What is Martin Jacobson's specialty?

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

Is Martin Jacobson enrolled in Medicare?

Yes. Martin Jacobson 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 Martin Jacobson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Jacobson reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). 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 Martin Jacobson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Jacobson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Martin Jacobson 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 Martin Jacobson was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.