Jackson K Draeger, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5321-12 Issued in WI

Practice address

827 Cormier Rd
Green Bay, WI 54304-4706

Phone

(920) 569-2350

NPI assigned

Feb 2, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gold Medal Group, LLC

  dba Midwest Pain Solutions

  • Chiropractor
  • Green Bay, WI
  • NPI 1114513652
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1073012290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CORMIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044706",
            "telephone_number": "920-569-2350",
            "fax_number": "920-569-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CORMIER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044706",
            "telephone_number": "920-569-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N2120 County Rd S",
            "address_purpose": "LOCATION",
            "city": "Antigo",
            "state": "WI",
            "postal_code": "544098950",
            "country_code": "US",
            "telephone_number": "920-569-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAEGER",
        "first_name": "JACKSON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-02",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5321-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Michael W Zoelle SC
• Dr. Andrea Appleton LTD (The Chiropractic Cottage)
• Dr. Elm and Associates Inc.
• Dr. Paula S. Crum, S.C.
• Kerin Beth Draak, APNP
• James V Drake, LCSW
• Theresa E Drake, RD
• Sarah Drengler
• Megan C Drewieske, APNP
• Malcolm R Driessen, DPT

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.