RAYMOND JACQUETTE
NPI 1114876166
Chiropractor in Brookfield, WI

Q: What is Raymond Jacquette's NPI number?

The NPI number for Raymond Jacquette is 1114876166. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Q: What is Raymond Jacquette's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raymond Jacquette was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 23, 2026

17040 W GREENFIELD AVE STE 3, BROOKFIELD, WI 53005(414) 930-2363 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Raymond Jacquette NPPES

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

RAYMOND JACQUETTE (NPI 1114876166) is an individual chiropractor in Brookfield, Wisconsin, licensed in Wisconsin (6371-12) and active in the NPI registry since January 2026. He is a graduate of Western States College Of Chiropractic (2023).

NPPES Registry Identity

NPI1114876166

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameRAYMOND JACQUETTE

Location Address17040 W GREENFIELD AVE STE 3Brookfield, WI 53005-6844

Mailing Address2157 S 96th StWest Allis, WI 53227-1426 · (414) 930-2363

Phone(414) 930-2363

Sole ProprietorNo

Medical School CMSWestern States College Of ChiropracticGraduated 2023

Enumeration DateJanuary 23, 2026

NPPES CertifiedJanuary 23, 2026

✔ NPI 1114876166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WI · 6371-12

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.

17040 W GREENFIELD AVE STE 3, Brookfield, WI 53005

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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)

Raymond Jacquette is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496220824

PECOS Enrollment IDI20260413003288

Medicare Billing Reassignment

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

Premier Chiropractic & Wellness, LLC

Same address

Chiropractor

17040 W GREENFIELD AVE STE 3
Brookfield, WI 53005

Reassigned Medicare billing, Wisconsin enrollment
2 clinicians in this Medicare group

NPI 1902310279 (414) 930-2363

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 3

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

DR. RENEE M. JACQUETTE D.C.

Chiropractor

17040 W GREENFIELD AVE STE 3
BROOKFIELD, WI 53005

Waukesha County (414) 930-2363

KIMBERLY JO SIMMONS LMT

Massage Therapist

17040 W GREENFIELD AVE STE 3
BROOKFIELD, WI 53005

Waukesha County (414) 930-2363

PREMIER CHIROPRACTIC & WELLNESS, LLC

Chiropractor

17040 W GREENFIELD AVE STE 3
BROOKFIELD, WI 53005

Waukesha County (414) 930-2363

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 Raymond Jacquette's NPI number?

The NPI number for Raymond Jacquette is 1114876166. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Where is Raymond Jacquette located?

Raymond Jacquette practices at 17040 W Greenfield Ave Ste 3, Brookfield, WI 53005. The listed phone number is (414) 930-2363.

What is Raymond Jacquette's specialty?

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

Is Raymond Jacquette enrolled in Medicare?

Yes. Raymond Jacquette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raymond Jacquette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymond Jacquette reassigns Medicare benefits to Premier Chiropractic & Wellness, LLC (Brookfield, 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 Raymond Jacquette's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymond Jacquette accept?

Health plans from HealthPartners and UnitedHealthcare list Raymond Jacquette 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 Raymond Jacquette was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.