Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1538165725 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas Edmund Jacobsmeyer , DC

Chiropractor • Mount Vernon, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Jacobsmeyer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 22, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Jacobsmeyer, DC was a registered Chiropractor practicing in Mount Vernon, WA. Throughout an active medical career spanning 1 years, Dr. Jacobsmeyer provided care at the practice location at 2118 RIVERSIDE DR until profile deactivation on 2006-03-16.

Practice Location & Contact Primary Location

Practice Address

2118 Riverside Dr
Ste 105

Mount Vernon, WA 982735454

Telephone 3604246104
Fax 3604246009
Associated Practice Facility / Clinic
🏢 New Spine Facility NPI 1568906030

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Mount Vernon, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 23.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Mount Vernon, WA (3154 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WA CH00001611

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2088409 (WA)
Commercial Insurance / Payer ID Regence Blue Cross
11666 (WA)
Commercial Insurance / Payer ID Labor And Industries
17631 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jodi Mullen

Specialist

NPI 1144468471
Arianna Greenhaw , LMT

Massage Therapist

NPI 1164200416

Licensed Massage Therapist

Liang Fen Fu

Massage Therapist

NPI 1396209672
Nancy Orr , LMP, NCBTMB

Massage Therapist

NPI 1417021668

Licensed Massage Practitioner, NCBTMB

Dr. Basil Abuid , DC

Chiropractor - Orthopedic

NPI 1649655762

Doctor of Chiropractic

NPI 1679945273

Doctor of Chiropractic, Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location September 12, 2007

Registered at 2118 RIVERSIDE DR, STE 105, MOUNT VERNON, WA 982735454 (Tel: 3604246104)

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Updated Business Mailing Address September 12, 2007

Registered at 2118 RIVERSIDE DR, STE 105, MOUNT VERNON, WA 982735454 (Tel: 3604246104)

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Provider Name / Credentials Updated September 12, 2007

Recorded as DOUGLAS JACOBSMEYER, DC

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2007

Chiropractor (License #CH00001611 in WA)

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NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538165725
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: September 12, 2007
Deactivation Date: March 16, 2006
Sole Proprietor: Yes

Mailing Address

2118 Riverside Dr, Ste 105

Mount Vernon, WA 982735454

Phone: 3604246104

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.