Jacob Jurgensen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5059-12 Issued in WI

Practice address

129 E Hudson St
Mondovi, WI 54755-1609

Phone

(715) 926-3919

NPI assigned

Dec 9, 2014

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

Northwestern College of Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jurgensen Chiropractic of Mondovi, Inc.Group PAC ID 9234454059, 2 clinicians

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.

• Jurgensen Chiropractic of Mondovi, Inc.

  • Chiropractor
  • Mondovi, WI
  • NPI 1780072686
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1821496795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E HUDSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551609",
            "telephone_number": "715-926-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E HUDSON ST",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547551609",
            "telephone_number": "715-926-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENSEN",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5059-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Steps, L.L.C.
• Gordon John Helgoe, D.C.
• Daniel Joseph Johnson
• Jurgensen Chiropractic of Mondovi, Inc.
• Andrea Lee Jurgensen
• Jennifer L Kronenberg, MSW, LCSW
• Douglas R Lochner-Wright, PT
• Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
• Merit Dental of Connecticut PC
• Merit Dental of Massachusetts PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.