DR. JACOB WALLER D.C.
NPI 1609954650
Chiropractor in Everett, WA
About Dr. Jacob Waller D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB WALLER D.C. (NPI 1609954650) is an individual chiropractor in Everett, Washington, licensed in Washington (CH34455) and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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. Jacob Waller D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Waller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Redmond, WA 98053
- Reassigned Medicare billing, Washington enrollment
- 2 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EVERETT, WA 98208
EVERETT, WA 98208
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 Waller's NPI number?
The NPI number for Jacob Waller is 1609954650. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Jacob Waller located?
Jacob Waller practices at 10315 19th Ave SE Suite 106, Everett, WA 98208. The listed phone number is (425) 338-5537.
What is Jacob Waller's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jacob Waller enrolled in Medicare?
Yes. Jacob Waller 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 Jacob Waller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Waller reassigns Medicare benefits to Towers Family Chiropractic (Redmond, WA). 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 Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Waller accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Jacob Waller 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 Waller was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Jacob Waller, D.C. · NPI 1609954650
Chiropractor provider in Everett, Washington. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1609954650 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH34455 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10315 19TH AVE SE, SUITE 106, Everett, WA 98208-4268
- **Phone:** (425) 338-5537
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Towers Family Chiropractic (NPI 1306429725, Redmond, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - West Sunnyvale, class of 2004
## Record status
- **NPPES last updated:** March 25, 2016
- **Other identifiers:** Other 0203575 (WA); Medicare UPIN V07820 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609954650) · Data from the CMS NPPES public registry.