1. Home
  2. Directory
  3. Washington
  4. Port Angeles
  5. Chiropractor
  6. NPI Profile

PENINSULA INTEGRATIVE CHIROPRACTIC
NPI 1306497656
Chiropractor - Rehabilitation in Port Angeles, WA

Active since September 26, 2019
123 E 1ST ST STE 1A, PORT ANGELES, WA 98362(360) 452-5010 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 2, 2019, Sep 26, 2019 (2 updates tracked since 2019).

About Peninsula Integrative Chiropractic NPPES

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

PENINSULA INTEGRATIVE CHIROPRACTIC (NPI 1306497656) is a healthcare organization registered as a rehabilitation in Port Angeles, Washington and active in the NPI registry since September 2019. The organization lists Jaclyn Duenas, Owner, as its authorized official.

NPPES Registry Identity

NPI1306497656
Entity TypeOrganization
Primary Taxonomy111NR0400X
Legal Business NamePENINSULA INTEGRATIVE CHIROPRACTIC
Location Address123 E 1ST ST STE 1APort Angeles, WA 98362-2902
Mailing AddressPo Box 2365Port Angeles, WA 98362-0305
Phone(360) 452-5010
Organization SubpartNo
Authorized OfficialJaclyn DuenasOwner · (360) 452-5010
Enumeration DateSeptember 26, 2019
Last NPPES UpdateDecember 2, 20192 updates tracked since enumeration
✔ NPI 1306497656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers
Taxonomy Code111NR0400X
Definition
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.
123 E 1ST ST STE 1A, Port Angeles, WA 98362
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peninsula Integrative Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20210122002278Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Peninsula Integrative Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Beckett Cohen, DC, MS
Chiropractic
NPI 1295121614
123 E 1ST ST. SUITE 1A
Port Angeles, WA 98362
(503) 452-5010
Same address
Jaclyn Duenas, D.C.
Chiropractic
NPI 1700292125
123 E 1ST ST STE 1A
Port Angeles, WA 98362
(360) 452-5010
✔ Accepts Medicare0.1 mi

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

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 Peninsula Integrative Chiropractic's NPI number?

The NPI number for Peninsula Integrative Chiropractic is 1306497656. It was assigned to this organization in the NPPES registry on September 26, 2019.

Where is Peninsula Integrative Chiropractic located?

Peninsula Integrative Chiropractic is located at 123 E 1st St Ste 1A, Port Angeles, WA 98362. The listed phone number is (360) 452-5010.

What is Peninsula Integrative Chiropractic's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Is Peninsula Integrative Chiropractic enrolled in Medicare?

Yes. Peninsula Integrative Chiropractic is registered in the Medicare PECOS enrollment system.

When is Peninsula Integrative Chiropractic's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Peninsula Integrative Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Peninsula Integrative Chiropractic. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peninsula Integrative Chiropractic was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.