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RAYMOND JACQUETTE
NPI 1114876166
Chiropractor in Brookfield, WI

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: August 16, 2026.

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

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 6 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.