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JAY WHITE DC, CCSP, ATC
NPI 1891447447
Chiropractor - Sports Physician in Elkhorn, WI

Active since January 25, 2022
N8302 US HIGHWAY 12, ELKHORN, WI 53121(603) 856-6030 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jay White Dc, Ccsp, Atc NPPES

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

JAY WHITE DC, CCSP, ATC (NPI 1891447447) is an individual sports physician in Elkhorn, Wisconsin, licensed in Wisconsin (5701-12) and active in the NPI registry since January 2022. He is a graduate of Western States College Of Chiropractic (2021).

NPPES Registry Identity

NPI1891447447
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameJAY WHITECredential: DC, CCSP, ATC
Location AddressN8302 US HIGHWAY 12Elkhorn, WI 53121-2429
Mailing AddressN8302 Us Highway 12Elkhorn, WI 53121-2429
Phone(603) 856-6030
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 2021
Enumeration DateJanuary 25, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1891447447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in WI · 5701-12
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
N8302 US HIGHWAY 12, Elkhorn, WI 53121
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay White Dc, Ccsp, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224408752
PECOS Enrollment IDI20260421004104

Medicare Billing Reassignment

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

Pro Sport And Spine PLLC
1,681 mi
Sports Physician
5160 BORGEN BLVD STE 101
Gig Harbor, WA 98332
  • Reassigned Medicare billing, Washington enrollment
  • 16 clinicians in this Medicare group
NPI 1841672433 (253) 853-4000

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 2

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

CHIROS IN MOTION
Chiropractor (Sports Physician)
N8302 US HIGHWAY 12
ELKHORN, WI 53121
Walworth County (262) 374-8315
EMMA R SCARO DC, MS, CCSP
Chiropractor (Sports Physician)
N8302 US HIGHWAY 12
ELKHORN, WI 53121
Walworth County (262) 374-8315

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 Jay White's NPI number?

The NPI number for Jay White is 1891447447. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Jay White located?

Jay White practices at N8302 Us Highway 12, Elkhorn, WI 53121. The listed phone number is (603) 856-6030.

What is Jay White's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Jay White enrolled in Medicare?

Yes. Jay White is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay White's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay White reassigns Medicare benefits to Pro Sport And Spine PLLC (Gig Harbor, WA). 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 Jay White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay White accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jay White 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 Jay White was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.