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JERRY M PAYNE D.C., INC
NPI 1396929006
Chiropractor in Port Angeles, WA

Active since December 18, 2007
1217 E 1ST ST, PORT ANGELES, WA 98362(360) 452-3017(360) 452-4100 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jerry M Payne D.c., Inc NPPES

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

JERRY M PAYNE D.C., INC (NPI 1396929006) is a healthcare organization registered as a chiropractor in Port Angeles, Washington and active in the NPI registry since December 2007. The organization lists Jerry M Payne, Owner, as its authorized official.

NPPES Registry Identity

NPI1396929006
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJERRY M PAYNE D.C., INC
Location Address1217 E 1ST STPort Angeles, WA 98362-4301
Mailing Address1217 E 1st StPort Angeles, WA 98362-4301 · (360) 452-3017 · Fax (360) 452-4100
Phone(360) 452-3017
Fax(360) 452-4100
Organization SubpartNo
Authorized OfficialJerry M PayneOwner · (360) 452-3017
Enumeration DateDecember 18, 2007
Last NPPES UpdateOctober 17, 2012
✔ NPI 1396929006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00003603
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.
1217 E 1ST ST, Port Angeles, WA 98362
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Other Identifiers 6

Medicare UPINU71990WA
Medicare PING8851006WA
OtherPA4216WA · Regence Blue Shield
Medicaid2022861WA
Other0124952WA · Dept Of Labor & Industrie
OtherG8851005WA · Medicare Group Pin

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry M Payne D.c., Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jerry M Payne D.C., Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jerry Payne, DC
Chiropractic
NPI 1114913613
1217 E 1ST ST
Port Angeles, WA 98362
(360) 452-3017
✔ Accepts MedicareSame address

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 Jerry M Payne D.C., Inc's NPI number?

The NPI number for Jerry M Payne D.C., Inc is 1396929006. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Jerry M Payne D.C., Inc located?

Jerry M Payne D.C., Inc is located at 1217 E 1st St, Port Angeles, WA 98362. The listed phone number is (360) 452-3017.

What is Jerry M Payne D.C., Inc's specialty?

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

Is Jerry M Payne D.C., Inc enrolled in Medicare?

Yes. Jerry M Payne D.C., Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry M Payne D.C., Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jerry M Payne D.C., Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jerry M Payne D.C., Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jerry M Payne D.C., Inc 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 Jerry M Payne D.C., Inc was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.