PREMIER CHIROPRACTIC & WELLNESS, LLC
NPI 1902310279
Chiropractor in Brookfield, WI

Active since November 25, 2017
17040 W GREENFIELD AVE STE 3, BROOKFIELD, WI 53005(414) 930-2363 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2018, Nov 25, 2017 (2 updates tracked since 2017).

About Premier Chiropractic & Wellness, Llc NPPES

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

PREMIER CHIROPRACTIC & WELLNESS, LLC (NPI 1902310279) is a healthcare organization registered as a chiropractor in Brookfield, Wisconsin and active in the NPI registry since November 2017. The organization lists Renee M. Jacquette, Member, as its authorized official.

NPPES Registry Identity

NPI1902310279
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePREMIER CHIROPRACTIC & WELLNESS, LLC
Location Address17040 W GREENFIELD AVE STE 3Brookfield, WI 53005-6899
Mailing Address17040 W Greenfield Ave Ste 3Brookfield, WI 53005-6899 · (414) 930-2363
Organization SubpartNo
Authorized OfficialRenee M. JacquetteMember · (414) 930-2363
Enumeration DateNovember 25, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1902310279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 2640
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.
17040 W GREENFIELD AVE STE 3, Brookfield, WI 53005

Other Identifiers 1

Medicaid38851400WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Chiropractic & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premier Chiropractic & Wellness, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1114876166
17040 W GREENFIELD AVE STE 3
Brookfield, WI 53005
(414) 930-2363
Same address
Chiropractic
NPI 1083787766
17040 W GREENFIELD AVE STE 3
Brookfield, WI 53005
(414) 930-2363
Same address

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 Premier Chiropractic & Wellness, LLC's NPI number?

The NPI number for Premier Chiropractic & Wellness, LLC is 1902310279. It was assigned to this organization in the NPPES registry on November 25, 2017.

Where is Premier Chiropractic & Wellness, LLC located?

Premier Chiropractic & Wellness, LLC is located at 17040 W Greenfield Ave Ste 3, Brookfield, WI 53005. The listed phone number is (414) 930-2363.

What is Premier Chiropractic & Wellness, LLC's specialty?

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

Is Premier Chiropractic & Wellness, LLC enrolled in Medicare?

Yes. Premier Chiropractic & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Chiropractic & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Premier Chiropractic & Wellness, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Chiropractic & Wellness, LLC accept?

Health plans from HealthPartners list Premier Chiropractic & Wellness, LLC 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 Premier Chiropractic & Wellness, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.