Active NPI
Jacob Aaron Peterson, DC
- Chiropractor
- Holmen, WI
National Provider Identifier
1871515593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4137-012
- Practice address
- 434 N Star Rd
Holmen, WI 54636-4402 - Phone
- (608) 526-3343
- Fax
- (608) 526-9366
- NPI assigned
- Jul 24, 2006
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4137-012 | WI | Primary |
Addresses
Primary practice location
434 N Star Rd
Holmen, WI 54636-4402
Mailing address
PO Box 274
Pittsville, WI 54466-0274
Phone (715) 884-2379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00600196 | Other | WI | MEDICARE RAILROAD |
| 38961300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4137-012 | WI | MD | Chiropractor |
| 4137 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Victoria Zueger, S.C. | Current | Accepting new patients | |
| Leo J Bronston | Chiropractor | Past | Accepting new patients |
Locations
1720 Grove Ave
Wisconsin Rapids, WI 54494
Phone (715) 424-8000
Organizations & group practices 2
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.
-
- Pediatric Chiropractor
- Wisconsin Rapids, WI
- NPI 1255673562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1871515593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 274",
"city": "PITTSVILLE",
"state": "WI",
"postal_code": "544660274",
"telephone_number": "715-884-2379",
"fax_number": "715-884-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 N STAR RD",
"city": "HOLMEN",
"state": "WI",
"postal_code": "546364402",
"telephone_number": "608-526-3343",
"fax_number": "608-526-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JACOB",
"middle_name": "AARON",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4137-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00600196",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38961300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holmen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.