DR. JACOB WALLER D.C.
NPI 1609954650
Chiropractor in Everett, WA

Active since November 01, 2006Accepts Medicare Assignment
10315 19TH AVE SE, SUITE 106, EVERETT, WA 98208(425) 338-5537 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1609954650
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACOB WALLERCredential: D.C.
Location Address10315 19TH AVE SE, SUITE 106Everett, WA 98208-4268
Mailing Address10315 19th Ave Se, Suite 106Everett, WA 98208-4268 · (425) 338-5537
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2004
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 25, 2016
NPI 1609954650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH34455
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.

10315 19TH AVE SE, Everett, WA 98208

Other Identifiers 2

Other0203575WA · Labor And Industires/wc
Medicare UPINV07820WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4587687553
PECOS Enrollment IDI20060105000628

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.

Psychiatry & Neurology (Neurology)
10315 19TH AVE SE, BUILDING B, SUITE 112
EVERETT, WA 98208
Dentist (General Practice)
10315 19TH AVE SE, STE 102
EVERETT, WA 98208
Dentist (General Practice)
10315 19TH AVE SE, SUITE 110
EVERETT, WA 98208
Psychiatry & Neurology (Neurology)
10315 19TH AVE SE, STE 112
EVERETT, WA 98208
Chiropractor
10315 19TH AVE SE, SUITE 106
EVERETT, WA 98208
Naturopath
10315 19TH AVE SE
EVERETT, WA 98208
Chiropractor (Sports Physician)
10315 19TH AVE SE, SUITE 106
EVERETT, WA 98208
Massage Therapist
10315 19TH AVE SE, SUITE 106
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.

What insurance does Jacob Waller accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan 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 with the weekly NPPES data releases published by CMS.