JIWA CHIROPRACTIC & WELLNESS
NPI 1699596114
Chiropractor in Sergeant Bluff, IA
About Jiwa Chiropractic & Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIWA CHIROPRACTIC & WELLNESS (NPI 1699596114) is a healthcare organization registered as a chiropractor in Sergeant Bluff, Iowa and active in the NPI registry since October 2024. The organization lists Joanna Widjaja, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jiwa Chiropractic & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jiwa Chiropractic & Wellness, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jiwa Chiropractic & Wellness's NPI number?
The NPI number for Jiwa Chiropractic & Wellness is 1699596114. It was assigned to this organization in the NPPES registry on October 17, 2024.
Where is Jiwa Chiropractic & Wellness located?
Jiwa Chiropractic & Wellness is located at 204 1st St Ste 111, Sergeant Bluff, IA 51054. The listed phone number is (712) 823-3127.
What is Jiwa Chiropractic & Wellness's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jiwa Chiropractic & Wellness enrolled in Medicare?
Yes. Jiwa Chiropractic & Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jiwa Chiropractic & Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jiwa Chiropractic & Wellness. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jiwa Chiropractic & Wellness was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jiwa Chiropractic & Wellness · NPI 1699596114
Chiropractor organization in Sergeant Bluff, Iowa. Organization record, active in the CMS NPPES registry since October 17, 2024.
## Identity
- **NPI:** 1699596114 (Entity type: Organization)
- **Enumerated:** October 17, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** Yes (part of Jiwa Chiropractic & Wellness)
- **Authorized official:** Joanna Widjaja, CHIROPRACTOR
## Practice location
- **Address:** 204 1ST ST STE 111, Sergeant Bluff, IA 51054-8532
- **Phone:** (712) 823-3127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1699596114) · Data from the CMS NPPES public registry.