DR. JASON C THEOBALD DC
NPI 1962509604
Chiropractor in Baraboo, WI

Active since September 17, 2006Accepts Medicare Assignment
550 W MAPLE ST, BARABOO, WI 53913(608) 355-4100(608) 355-4107 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jason C Theobald Dc NPPES

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

DR. JASON C THEOBALD DC (NPI 1962509604) is an individual chiropractor in Baraboo, Wisconsin, licensed in Wisconsin (3855-012) and active in the NPI registry since September 2006. He is a graduate of Palmer College Chiropractic - Davenport (2002).

NPPES Registry Identity

NPI1962509604
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JASON C THEOBALDCredential: DC
Location Address550 W MAPLE STBaraboo, WI 53913-1166
Mailing Address550 W Maple St, Suite # 201Baraboo, WI 53913-1166 · (608) 355-4100 · Fax (608) 355-4107
Fax(608) 355-4107
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2002
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJanuary 20, 2016
NPI 1962509604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 3855-012
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.
550 W MAPLE ST, Baraboo, WI 53913

Other Identifiers 6

Medicare ID-Type Unspecified000135815WI
Medicaid38939100WI
OtherCB3715WI · Railroad Medicare Group
Other38996600WI · Medicaid Group
Medicare UPINU92024
Other350056012WI · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason C Theobald Dc 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 ID7214903673
PECOS Enrollment IDI20040907001197

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.

Chiropractor
550 W MAPLE ST
BARABOO, WI 53913
Chiropractor
550 W MAPLE ST
BARABOO, WI 53913

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 Jason Theobald's NPI number?

The NPI number for Jason Theobald is 1962509604. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Jason Theobald located?

Jason Theobald practices at 550 W Maple St, Baraboo, WI 53913. The listed phone number is (608) 355-4100.

What is Jason Theobald's specialty?

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

Is Jason Theobald enrolled in Medicare?

Yes. Jason Theobald 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.

What insurance does Jason Theobald accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners, Medica and Quartz list Jason Theobald 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 Jason Theobald was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.