JACOB MICHAEL SUNDERLAGE DC
NPI 1497422174
Chiropractor in Fairlawn, VA
About Jacob Michael Sunderlage Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB MICHAEL SUNDERLAGE DC (NPI 1497422174) is an individual chiropractor in Fairlawn, Virginia, licensed in Virginia (0104-557743) and active in the NPI registry since August 2021.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacob Michael Sunderlage Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacob Sunderlage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jenison, MI 49428
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
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 Jacob Sunderlage's NPI number?
The NPI number for Jacob Sunderlage is 1497422174. It was assigned to this individual provider in the NPPES registry on August 30, 2021.
Where is Jacob Sunderlage located?
Jacob Sunderlage practices at 7350 Peppers Ferry Blvd Ste B, Fairlawn, VA 24141. The listed phone number is (540) 731-4357.
What is Jacob Sunderlage's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jacob Sunderlage enrolled in Medicare?
Yes. Jacob Sunderlage is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacob Sunderlage's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Sunderlage reassigns Medicare benefits to Eric R Hartman, Dc, PLLC (Jenison, MI). 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 Jacob Sunderlage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Sunderlage accept?
Health plans from Priority Health list Jacob Sunderlage 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 Jacob Sunderlage was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jacob Michael Sunderlage, DC · NPI 1497422174
Chiropractor provider in Fairlawn, Virginia. Individual provider, active in the CMS NPPES registry since August 30, 2021.
## Identity
- **NPI:** 1497422174 (Entity type: Individual)
- **Enumerated:** August 30, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 0104-557743 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 7350 PEPPERS FERRY BLVD STE B, Fairlawn, VA 24141-8999
- **Phone:** (540) 731-4357
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Eric R Hartman, Dc, PLLC (NPI 1982886776, Jenison, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497422174) · Data from the CMS NPPES public registry.