MISS KIM M. JAQUA DC
NPI 1659533305
Chiropractor in St Petersburg, FL
About Miss Kim M. Jaqua Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KIM M. JAQUA DC (NPI 1659533305) is an individual chiropractor in St Petersburg, Florida, licensed in Florida (CH9579) and active in the NPI registry since June 2008. She is a graduate of Other (2008).
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 and accepts Medicare assignment
Miss Kim M. Jaqua 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.
Medicare Billing Reassignment
Medicare enrollment records show Kim Jaqua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75220
- Reassigned Medicare billing, Texas enrollment
- 24 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PETERSBURG, FL 33710
ST PETERSBURG, FL 33710
ST PETERSBURG, FL 33710
ST PETERSBURG, FL 33710
ST PETERSBURG, FL 33710
ST PETERSBURG, FL 33710
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 Kim Jaqua's NPI number?
The NPI number for Kim Jaqua is 1659533305. It was assigned to this individual provider in the NPPES registry on June 25, 2008.
Where is Kim Jaqua located?
Kim Jaqua practices at 6449 38th Ave N Suite B3, St Petersburg, FL 33710. The listed phone number is (727) 347-2225.
What is Kim Jaqua's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kim Jaqua enrolled in Medicare?
Yes. Kim Jaqua 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 Kim Jaqua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kim Jaqua reassigns Medicare benefits to Parker University (Dallas, TX). 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 Kim Jaqua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kim Jaqua accept?
Health plans from Blue Cross and Blue Shield of Texas list Kim Jaqua 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 Kim Jaqua was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Miss Kim M. Jaqua, DC · NPI 1659533305
Chiropractor provider in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since June 25, 2008.
## Identity
- **NPI:** 1659533305 (Entity type: Individual)
- **Enumerated:** June 25, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH9579 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6449 38TH AVE N, SUITE B3, St Petersburg, FL 33710-1655
- **Phone:** (727) 347-2225
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Parker University (NPI 1669582680, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 21, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1659533305) · Data from the CMS NPPES public registry.