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DR. JERED MICHAEL WAYLAND D.C.
NPI 1114173143
Chiropractor in Cape Girardeau, MO

Active since August 11, 2008
1424 KURRE LN, CAPE GIRARDEAU, MO 63701(573) 334-0100 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jered Michael Wayland D.c. NPPES

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

DR. JERED MICHAEL WAYLAND D.C. (NPI 1114173143) is an individual chiropractor in Cape Girardeau, Missouri, licensed in Missouri (2009003271) and active in the NPI registry since August 2008. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2008).

NPPES Registry Identity

NPI1114173143
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERED MICHAEL WAYLANDCredential: D.C.
Location Address1424 KURRE LNCape Girardeau, MO 63701-2254
Mailing Address1424 Kurre LnCape Girardeau, MO 63701-2254 · (573) 334-0100
Phone(573) 334-0100
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2008
Enumeration DateAugust 11, 2008
Last NPPES UpdateMay 13, 2025
NPPES CertifiedMay 13, 2025
✔ NPI 1114173143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2009003271
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.
1424 KURRE LN, Cape Girardeau, MO 63701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jered Michael Wayland D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476610056
PECOS Enrollment IDI20130306000011

Medicare Billing Reassignment

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

Cape Chiropractic Clinic LLC
Same address
Chiropractor
1424 KURRE LN
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1306197504 (573) 334-0100

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 5

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

ARIELLE M BOHNERT
Chiropractor
1424 KURRE LN
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-0100
CAPE CHIROPRACTIC CLINIC LLC
Chiropractor
1424 KURRE LN
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-0100
KENDRICK MORRIS DC
Chiropractor
1424 KURRE LN
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-0100
ALEX J RODEWALD
Chiropractor
1424 KURRE LN
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-0100
KATHLEEN MAY KING DC
Chiropractor
1424 KURRE LN
CAPE GIRARDEAU, MO 63701
Cape Girardeau County (573) 334-0100

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 Jered Wayland's NPI number?

The NPI number for Jered Wayland is 1114173143. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Jered Wayland located?

Jered Wayland practices at 1424 Kurre Ln, Cape Girardeau, MO 63701. The listed phone number is (573) 334-0100.

What is Jered Wayland's specialty?

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

Is Jered Wayland enrolled in Medicare?

Yes. Jered Wayland is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jered Wayland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jered Wayland reassigns Medicare benefits to Cape Chiropractic Clinic LLC (Cape Girardeau, MO). 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 Jered Wayland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jered Wayland was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.