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DR. JESSE JACOBS D.C.
NPI 1114356466
Chiropractor in Fort Worth, TX

Active since November 07, 2013
4525 HERITAGE TRACE PKWY, SUITE 101, FORT WORTH, TX 76244(817) 431-5100 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jesse Jacobs D.c. NPPES

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

DR. JESSE JACOBS D.C. (NPI 1114356466) is an individual chiropractor in Fort Worth, Texas, licensed in Texas (12301) and active in the NPI registry since November 2013. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1114356466
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JESSE JACOBSCredential: D.C.
Location Address4525 HERITAGE TRACE PKWY, SUITE 101Fort Worth, TX 76244-8908
Mailing Address9921 Bend CtFort Worth, TX 76177-7329 · (214) 636-6906
Phone(817) 431-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 7, 2013
Last NPPES UpdateJune 16, 2016
✔ NPI 1114356466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 12301
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.
4525 HERITAGE TRACE PKWY, Fort Worth, TX 76244
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Jacobs D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002130564
PECOS Enrollment IDI20150112000821

Medicare Billing Reassignment

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

Kaikoa LLC
0.1 mi
Chiropractor
4525 HERITAGE TRACE PKWY, SUITE 101
Fort Worth, TX 76244
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1023468485 (817) 431-5100

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
388 services31 patients

Other Providers at the Same Location NPPES

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

KAIKOA LLC
Chiropractor
4525 HERITAGE TRACE PKWY, SUITE 101
FORT WORTH, TX 76244
Tarrant County (817) 431-5100

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 Jesse Jacobs's NPI number?

The NPI number for Jesse Jacobs is 1114356466. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Where is Jesse Jacobs located?

Jesse Jacobs practices at 4525 Heritage Trace Pkwy Suite 101, Fort Worth, TX 76244. The listed phone number is (817) 431-5100.

What is Jesse Jacobs's specialty?

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

Is Jesse Jacobs enrolled in Medicare?

Yes. Jesse Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesse Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Jacobs reassigns Medicare benefits to Kaikoa LLC (Fort Worth, TX). 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 Jesse Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Jacobs accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Jesse Jacobs 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 Jesse Jacobs was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.