Individual provider Active NPI

Jennifer Carmell Stepanek, D.C.

  • Chiropractor
  • Vero Beach, FL
National Provider Identifier
1003105453
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8821 Issued in FL
Practice address
2006 32ND Ave
Ste a
Vero Beach, FL 32960-2430
Phone
(772) 778-2225
Fax
(772) 778-0304
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8821 FL Primary

Addresses

Primary practice location

2006 32ND Ave
Ste a
Vero Beach, FL 32960-2430

Mailing address

2006 32ND Ave
Vero Beach, FL 32960-2430
Phone (772) 778-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000825 FL Practitioner - Chiropractic 5991965667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Total Health Physical Medicine PAGroup PAC ID 8022089804, 2 clinicians

Practice addresses (Care Compare)

1965 14TH Ave
Vero Beach, FL 32960-0671

2006 32ND Ave
Vero Beach, FL 32960-2430

2635 Victory Blvd
Vero Beach, FL 32960-2949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8821FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Physical Medicine PA Chiropractor CurrentSince Jan 30, 2012 Accepting new patients

Locations

2006 32nd Ave
Ste A
Vero Beach, FL 32960
Phone (772) 778-2225

2006 32nd Ave
Vero Beach, FL 32960

Networks

  • AL HMO D-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • FL PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO
  • FL HMO D-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • AL HMO

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1003105453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 32ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602430",
            "telephone_number": "772-778-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 32ND AVE",
            "address_2": "STE A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602430",
            "telephone_number": "772-778-2225",
            "fax_number": "772-778-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPANEK",
        "first_name": "JENNIFER",
        "middle_name": "CARMELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.