1. Home
  2. Directory
  3. Ohio
  4. Youngstown
  5. Chiropractor
  6. NPI Profile

JACOB B FONDERLIN DC
NPI 1770414195
Chiropractor in Youngstown, OH

Active since May 26, 2026
527 N MERIDIAN RD, YOUNGSTOWN, OH 44509(330) 797-0070(330) 797-9146 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacob B Fonderlin Dc NPPES

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

JACOB B FONDERLIN DC (NPI 1770414195) is an individual chiropractor in Youngstown, Ohio, licensed in Ohio (DC-05554) and active in the NPI registry since May 2026. He maintains 3 additional practice locations and is a graduate of Other (2026).

NPPES Registry Identity

NPI1770414195
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJACOB B FONDERLINCredential: DC
Location Address527 N MERIDIAN RDYoungstown, OH 44509-1227
Mailing Address527 N Meridian RdYoungstown, OH 44509-1227 · (330) 797-0070 · Fax (330) 797-9146
Phone(330) 797-0070
Fax(330) 797-9146
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 26, 2026
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1770414195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · DC-05554
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.
527 N MERIDIAN RD, Youngstown, OH 44509
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18255 South AveYoungstown, OH 44512-6483 · Phone (330) 797-0070 · Fax (330) 797-9146
Location 2550 W Chalmers AveYoungstown, OH 44511-1576 · Phone (330) 797-0070 · Fax (330) 797-9146
Location 3320 High St NEWarren, OH 44481-1222 · Phone (330) 797-0070 · Fax (330) 797-9146

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob B Fonderlin Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325512783
PECOS Enrollment IDI20260707002247

Medicare Billing Reassignment

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

Meridian Healthcare
Same address
Primary Care
527 N MERIDIAN RD
Youngstown, OH 44509
  • Reassigned Medicare billing, Ohio enrollment
  • 29 clinicians in this Medicare group
NPI 1225455082 (330) 797-0070

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.

EVELYN C CLARK LPCC-S
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
TYLER BOULTON
Community/Behavioral Health
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
ALEXIS S MCANDREW LPCC
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
ANTOINETTE FITZGERALD LPN
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
KATALIN BACHA LPC
Counselor (Professional)
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0074
TARA L WARD RN
Registered Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
LAUREN G HOLT LSW
Social Worker
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070
CHARIZMA M LEWIS LPN
Licensed Practical Nurse
527 N MERIDIAN RD
YOUNGSTOWN, OH 44509
Mahoning County (330) 797-0070

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 Fonderlin's NPI number?

The NPI number for Jacob Fonderlin is 1770414195. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Jacob Fonderlin located?

Jacob Fonderlin practices at 527 N Meridian Rd, Youngstown, OH 44509. The listed phone number is (330) 797-0070.

What is Jacob Fonderlin's specialty?

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

Is Jacob Fonderlin enrolled in Medicare?

Yes. Jacob Fonderlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Fonderlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Fonderlin reassigns Medicare benefits to Meridian Healthcare (Youngstown, OH). 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 Fonderlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Fonderlin accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Providence Health Plan list Jacob Fonderlin 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 Fonderlin was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.