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DR. JEANETTA MARIE WILKERSON DC
NPI 1609304104
Chiropractor in Hazelwood, MO

Active since May 27, 2017Accepts Medicare Assignment
320 BROOKES DR STE 237, HAZELWOOD, MO 63042(314) 225-8810 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 27, 2017 (2 updates tracked since 2017).

About Dr. Jeanetta Marie Wilkerson Dc NPPES

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

DR. JEANETTA MARIE WILKERSON DC (NPI 1609304104) is an individual chiropractor in Hazelwood, Missouri, licensed in Missouri (2016039732) and active in the NPI registry since May 2017. She is a graduate of Logan College Of Chiropractic (2015).

NPPES Registry Identity

NPI1609304104
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEANETTA MARIE WILKERSONCredential: DC
Location Address320 BROOKES DR STE 237Hazelwood, MO 63042-2733
Mailing Address320 Brookes Dr Ste 237Hazelwood, MO 63042-2733 · (314) 225-8810
Phone(314) 225-8810
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2015
Enumeration DateMay 27, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1609304104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2016039732
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.
320 BROOKES DR STE 237, Hazelwood, MO 63042
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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. Jeanetta Marie Wilkerson Dc 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 ID2668720723
PECOS Enrollment IDI20180806002137

Medicare Billing Reassignment

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

Logan University
14 mi
Chiropractor
1851 SCHOETTLER RD.
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 17 clinicians in this Medicare group
NPI 1194765941 (636) 227-2100

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 Jeanetta Wilkerson's NPI number?

The NPI number for Jeanetta Wilkerson is 1609304104. It was assigned to this individual provider in the NPPES registry on May 27, 2017.

Where is Jeanetta Wilkerson located?

Jeanetta Wilkerson practices at 320 Brookes Dr Ste 237, Hazelwood, MO 63042. The listed phone number is (314) 225-8810.

What is Jeanetta Wilkerson's specialty?

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

Is Jeanetta Wilkerson enrolled in Medicare?

Yes. Jeanetta Wilkerson 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 Jeanetta Wilkerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanetta Wilkerson reassigns Medicare benefits to Logan University (Chesterfield, MO). 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 Jeanetta Wilkerson'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 Jeanetta Wilkerson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.