Jamie L Mabeus, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4937-012 Issued in WI

Practice address

2835 N Grandview Blvd Ste 200
Pewaukee, WI 53072-5546

Phone

(262) 395-4015

NPI assigned

Jul 15, 2013

Last updated

Jul 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2012

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Full Motion Family Chiropractic LLC

  • Chiropractor
  • Waukesha, WI
  • NPI 1891123741
  Medicare reassignment NPD Authorized official
• Chiro-Med,SC

  • Chiropractor
  • Waukesha, WI
  • NPI 1417167115
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1851732135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 200",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725546",
            "telephone_number": "262-395-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 N GRANDVIEW BLVD STE 200",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725546",
            "telephone_number": "262-395-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABEUS",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4937-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851732135",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living Assistance Waukesha LLC
• Living Assistance, Inc (Visiting Angels)
• Andrew Vernon Ludeman, DC
• Carrie Lujan, PMHNP
• Robert Thomas Lynch, DDS
• Ariane Machin, PH.D.
• Ingo G Mahn, DDS
• Melissa Malloy, PA-C
• Geoffrey K Malone, LCSW
• Trudy Malone, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.