William J Jensen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH8221 Issued in FL

Practice address

10198 SW Village Pkwy Ste 104
Port St Lucie, FL 34987-2592

Phone

(772) 879-8700

Fax

(772) 879-8710

NPI assigned

May 9, 2007

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 FL

Enrollment records 1

Specialty

Chiropractic

Education

University of Minnesota Medical School, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Wellness Centers LLCGroup PAC ID 8527122241, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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.

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 Wellness Centers LLC

  • Chiropractor
  • Port St Lucie, FL
  • NPI 1639322712
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1992919922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10198 SW VILLAGE PKWY STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872592",
            "telephone_number": "772-879-8700",
            "fax_number": "772-879-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10198 SW VILLAGE PKWY STE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872592",
            "telephone_number": "772-879-8700",
            "fax_number": "772-879-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Jenkins
• Gary Jenkins
• Karen E Jenkins, MD
• Melissa Jenkins
• Suzanne L. Jensen, L.M.T.
• Myralda Jerome, LMHC
• Kristopher P Jerry, DPM
• Rachel Autumn Jeter
• Mariene Jimenez Mustelier, ITDS
• Danielle Elizabeth Jimenez

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; 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.