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
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Practice location Address checks out

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

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