Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Jon Desantis

Individual provider Chiropractor · NPI 1952878415

Jacob Jon Desantis is a Chiropractic in Rice Lake, Wisconsin. Graduated from Northwestern College of Chiropractic in 2018, 8 years ago. Practices with Wild Rivers Chiropractic LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Trained at
Northwestern College of Chiropractic
Licensed in
WI
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16 W John St Ste 3
Rice Lake, WI 54868-2918
Phone: (715) 205-5564
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5417 (WI)

Record details

NPI number1952878415
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 1, 2018
Last updated in NPPESApril 18, 2026
Certification dateApril 18, 2026
Mailing address16 W John St Ste 3, Rice Lake, WI 54868-2918

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2018 (8 years in practice)
Group practice Wild Rivers Chiropractic Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rice Lake