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DR. VANESSA JACLYN WILCZAK D.C.
NPI 1366775124
Chiropractor in Jacksonville, FL

Active since September 11, 2009
10550 DEERWOOD PARK BLVD STE 609A, JACKSONVILLE, FL 32256(904) 513-3954(904) 212-0223 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Vanessa Jaclyn Wilczak D.c. NPPES

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

DR. VANESSA JACLYN WILCZAK D.C. (NPI 1366775124) is an individual chiropractor in Jacksonville, Florida, licensed in Florida (CH9776) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1366775124
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. VANESSA JACLYN WILCZAKCredential: D.C.
Location Address10550 DEERWOOD PARK BLVD STE 609AJacksonville, FL 32256-0596
Mailing Address4831 Florida Club Cir Apt 2203Jacksonville, FL 32216-1088 · (904) 264-0400 · Fax (904) 264-0401
Phone(904) 513-3954
Fax(904) 212-0223
Sole ProprietorNo
Enumeration DateSeptember 11, 2009
Last NPPES UpdateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1366775124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in FL · CH9776✔ Licensed in NY · X011698✔ Licensed in MO · 2009008265
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.
10550 DEERWOOD PARK BLVD STE 609A, Jacksonville, FL 32256
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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. Vanessa Jaclyn Wilczak D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Vanessa Wilczak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vjwdc, Inc
Same address
Physical Therapist
10550 DEERWOOD PARK BLVD STE 609B
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1578223764 (904) 513-3954
East Coast Neuro LLC
0.1 mi
Neurology
10550 DEERWOOD PARK BLVD STE 609A
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 10 clinicians in this Medicare group
NPI 1124424643 (904) 513-3954

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 7

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

LINDSEY DELL
Physical Therapy Assistant
10550 DEERWOOD PARK BLVD STE 609A
JACKSONVILLE, FL 32256
Duval County (904) 513-3954
MOHAMMED ATA
Physical Therapist
10550 DEERWOOD PARK BLVD STE 609A
JACKSONVILLE, FL 32256
Duval County (904) 513-3954
EAST COAST NEURO LLC
Psychiatry & Neurology (Neurology)
10550 DEERWOOD PARK BLVD STE 609A
JACKSONVILLE, FL 32256
Duval County (904) 513-3954
JASMINE BENTLEY PTA
Physical Therapy Assistant
10550 DEERWOOD PARK BLVD STE 609A
JACKSONVILLE, FL 32256
Duval County (904) 513-3954
DR. ADAM JAMES WHALEN D.C.
Chiropractor
10550 DEERWOOD PARK BLVD STE 609A
JACKSONVILLE, FL 32256
Duval County (904) 513-3954
JADA JORDAN PTA
Physical Therapy Assistant
10550 DEERWOOD PARK BLVD STE 609A
JACKSONVILLE, FL 32256
Duval County (904) 513-3954
BRADLEY SWANSON PTA
Physical Therapy Assistant
10550 DEERWOOD PARK BLVD STE 609A
JACKSONVILLE, FL 32256
Duval County (904) 513-3954

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 Vanessa Wilczak's NPI number?

The NPI number for Vanessa Wilczak is 1366775124. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Where is Vanessa Wilczak located?

Vanessa Wilczak practices at 10550 Deerwood Park Blvd Ste 609A, Jacksonville, FL 32256. The listed phone number is (904) 513-3954.

What is Vanessa Wilczak's specialty?

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

Is Vanessa Wilczak enrolled in Medicare?

Yes. Vanessa Wilczak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vanessa Wilczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Wilczak reassigns Medicare benefits to 2 organizations: Vjwdc, Inc (Jacksonville, FL) and East Coast Neuro LLC (Jacksonville, FL). Each 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 Vanessa Wilczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vanessa Wilczak accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan and 1 other insurer list Vanessa Wilczak 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 Vanessa Wilczak was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.