Raymond Jacquette

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6371-12 Issued in WI

Practice address

17040 W Greenfield Ave Ste 3
Brookfield, WI 53005-6844

Phone

(414) 930-2363

NPI assigned

Jan 23, 2026

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

Western States College of Chiropractic, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Chiropractic & Wellness, LLC

  • Chiropractor
  • Brookfield, WI
  • NPI 1902310279
  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1114876166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 S 96TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271426",
            "telephone_number": "414-930-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17040 W GREENFIELD AVE STE 3",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056844",
            "telephone_number": "414-930-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUETTE",
        "first_name": "RAYMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6371-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexzandria Jackson
• Alison Jacobs
• Megan Jane Jacobs, M.S. CCC-SLP
• Jacquette Chiropractic SC
• Mark R Jacquette, D.C.
• Renee M. Jacquette, D.C.
• Erin Jaeger
• Thomas Jahnke, DDS
• Kate Jahnz, PTA
• Amber Lynn Jakubek

• Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.