Jacob Riley Mauricio Nelson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

129302 Issued in IA

Practice address

513 Court St
Williamsburg, IA 52361-9429

Phone

(319) 668-8196

Fax

(319) 668-1054

NPI assigned

Nov 21, 2024

Last updated

Oct 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agape Family Chiropractic LLCGroup PAC ID 7315225679, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Agape Family Chiropractic, LLC

  • Chiropractor
  • Williamsburg, IA
  • NPI 1073901302
  Medicare reassignment Care Compare group NPD
• Resolve Medical PLLC

  • General Practice Physician
  • Williamsburg, IA
  • NPI 1770425613
  NPD

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1891510079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 COURT ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619429",
            "telephone_number": "319-668-8196",
            "fax_number": "319-668-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 COURT ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523619429",
            "telephone_number": "319-668-8196",
            "fax_number": "319-668-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JACOB",
        "middle_name": "RILEY MAURICIO",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "129302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami Marshall
• MCLD Corporation (Star Drug)
• MCLD Corporation (Star Drug)
• Midwest Counseling, LLC
• Annalee Rose Moody
• Gregory P Neyman, M.D.
• Theodora Naa Adukai Okine
• Olivia Parmelee, DC
• Resolve Medical PLLC
• Erin L Riffel, PHARM.D.

• Chiropractor in Williamsburg, IA
• Providers in Williamsburg, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.