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DR. MARK R JACQUETTE D.C.
NPI 1649380528
Chiropractor in Brookfield, WI

Active since August 30, 2006
13740 W CAPITOL DR, BROOKFIELD, WI 53005(262) 781-3332(262) 781-6477 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark R Jacquette D.c. NPPES

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

DR. MARK R JACQUETTE D.C. (NPI 1649380528) is an individual chiropractor in Brookfield, Wisconsin, licensed in Wisconsin (1989) and active in the NPI registry since August 2006. He is a graduate of Palmer College Chiropractic - Davenport (1984).

NPPES Registry Identity

NPI1649380528
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK R JACQUETTECredential: D.C.
Location Address13740 W CAPITOL DRBrookfield, WI 53005-2407
Mailing Address13740 W Capitol DrBrookfield, WI 53005-2407 · (262) 781-3332 · Fax (262) 781-6477
Phone(262) 781-3332
Fax(262) 781-6477
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1984
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649380528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 1989
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.
13740 W CAPITOL DR, Brookfield, WI 53005
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Other Identifiers 2

Medicaid38787800WI
Medicare UPINT62298WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark R Jacquette D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335296821
PECOS Enrollment IDI20090421000296

Medicare Billing Reassignment

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

Jacquette Chiropractic Sc
Same address
Chiropractor
13740 W CAPITOL DR
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1861565814 (262) 781-3332

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUETTE CHIROPRACTIC SC
Chiropractor
13740 W CAPITOL DR
BROOKFIELD, WI 53005
Waukesha County (262) 781-3332

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 Mark Jacquette's NPI number?

The NPI number for Mark Jacquette is 1649380528. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Jacquette located?

Mark Jacquette practices at 13740 W Capitol Dr, Brookfield, WI 53005. The listed phone number is (262) 781-3332.

What is Mark Jacquette's specialty?

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

Is Mark Jacquette enrolled in Medicare?

Yes. Mark Jacquette is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Jacquette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Jacquette reassigns Medicare benefits to Jacquette Chiropractic Sc (Brookfield, WI). 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 Mark Jacquette'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 Mark Jacquette was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.