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DR. JARED CHRISTOPHER WISNER D.C.
NPI 1265672802
Chiropractor in Overland Park, KS

Active since February 23, 2009Accepts Medicare Assignment
11775 W 112TH ST STE 103, OVERLAND PARK, KS 66210(913) 897-5485 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jared Christopher Wisner D.c. NPPES

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

DR. JARED CHRISTOPHER WISNER D.C. (NPI 1265672802) is an individual chiropractor in Overland Park, Kansas, licensed in Kansas (01-05218) and active in the NPI registry since February 2009. He is a graduate of Cleveland Chiropractic College - Kansas City (2008).

NPPES Registry Identity

NPI1265672802
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JARED CHRISTOPHER WISNERCredential: D.C.
Location Address11775 W 112TH ST STE 103Overland Park, KS 66210-2790
Mailing Address11775 W 112th St Ste 103Overland Park, KS 66210-2790 · (913) 897-5485
Phone(913) 897-5485
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2008
Enumeration DateFebruary 23, 2009
Last NPPES UpdateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1265672802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in KS · 01-05218
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.
11775 W 112TH ST STE 103, Overland Park, KS 66210
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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 and accepts Medicare assignment

Dr. Jared Christopher Wisner D.c. 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 ID6709934797
PECOS Enrollment IDI20090430000495

Medicare Billing Reassignment

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

Wisner Chiropractic, LLC
Same address
Chiropractor
11775 W 112TH ST STE 103
Overland Park, KS 66210
  • Reassigned Medicare billing, Kansas enrollment
  • 2 clinicians in this Medicare group
NPI 1588806178 (913) 897-5485

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

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

WISNER CHIROPRACTIC, LLC
Chiropractor
11775 W 112TH ST STE 103
OVERLAND PARK, KS 66210
Johnson County (913) 897-5485

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 Jared Wisner's NPI number?

The NPI number for Jared Wisner is 1265672802. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Jared Wisner located?

Jared Wisner practices at 11775 W 112th St Ste 103, Overland Park, KS 66210. The listed phone number is (913) 897-5485.

What is Jared Wisner's specialty?

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

Is Jared Wisner enrolled in Medicare?

Yes. Jared Wisner 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 Jared Wisner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Wisner reassigns Medicare benefits to Wisner Chiropractic, LLC (Overland Park, KS). 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 Jared Wisner'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 Jared Wisner was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.