DR. JACOB RILEY MAURICIO NELSON D.C
NPI 1891510079
Chiropractor in Williamsburg, IA

Q: What is Jacob Nelson's NPI number?

The NPI number for Jacob Nelson is 1891510079. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Q: What is Jacob Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Nelson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 21, 2024Accepts Medicare Assignment

513 COURT ST, WILLIAMSBURG, IA 52361(319) 668-8196(319) 668-1054 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Jacob Riley Mauricio Nelson D.c NPPES

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

DR. JACOB RILEY MAURICIO NELSON D.C (NPI 1891510079) is an individual chiropractor in Williamsburg, Iowa, licensed in Iowa (129302) and active in the NPI registry since November 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1891510079

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JACOB RILEY MAURICIO NELSONCredential: D.C

Location Address513 COURT STWilliamsburg, IA 52361-9429

Mailing Address513 Court StWilliamsburg, IA 52361-9429 · (319) 668-8196 · Fax (319) 668-1054

Phone(319) 668-8196

Fax(319) 668-1054

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 21, 2024

Last NPPES UpdateOctober 3, 2025

NPPES CertifiedOctober 3, 2025

✔ NPI 1891510079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IA · 129302

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.

513 COURT ST, Williamsburg, IA 52361

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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

Dr. Jacob Riley Mauricio Nelson D.c 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.

PECOS PAC ID6002312881

PECOS Enrollment IDI20251001000711

Medicare Billing Reassignments

Medicare enrollment records show Jacob Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Agape Family Chiropractic, LLC

Same address

Chiropractor

513 COURT ST
Williamsburg, IA 52361

Reassigned Medicare billing, Iowa enrollment
4 clinicians in this Medicare group

NPI 1073901302 (319) 668-8196

Resolve Medical PLLC

Same address

General Practice

513 COURT ST
Williamsburg, IA 52361

Reassigned Medicare billing, Iowa enrollment
3 clinicians in this Medicare group

NPI 1770425613 (319) 668-8196

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 3

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

AGAPE FAMILY CHIROPRACTIC, LLC

Chiropractor

513 COURT ST
WILLIAMSBURG, IA 52361

Iowa County (319) 668-8196

RESOLVE MEDICAL PLLC

General Practice

513 COURT ST
WILLIAMSBURG, IA 52361

Iowa County (319) 668-8196

OLIVIA PARMELEE DC

Chiropractor

513 COURT ST
WILLIAMSBURG, IA 52361

Iowa County (319) 668-8196

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 Nelson's NPI number?

The NPI number for Jacob Nelson is 1891510079. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Where is Jacob Nelson located?

Jacob Nelson practices at 513 Court St, Williamsburg, IA 52361. The listed phone number is (319) 668-8196.

What is Jacob Nelson's specialty?

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

Is Jacob Nelson enrolled in Medicare?

Yes. Jacob Nelson 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 organizations bill Medicare for Jacob Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Nelson reassigns Medicare benefits to 2 organizations: Agape Family Chiropractic, LLC (Williamsburg, IA) and Resolve Medical PLLC (Williamsburg, IA). Each 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 Nelson'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 Jacob Nelson was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.