Organization Active NPI

Wellspring Health - Orange City, LLC

Doing business as Wellspring Regenerative Medicine

  • Chiropractor
  • Orange City, FL
National Provider Identifier
1760930325
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11028 Issued in FL
Legal business name
WELLSPRING HEALTH - ORANGE CITY, LLC
Doing business as
Wellspring Regenerative Medicine
Practice address
2415 S Volusia Ave Ste A2
Orange City, FL 32763-7623
Phone
(386) 775-6879
Fax
(386) 775-0307
NPI assigned
Sep 13, 2016
Last updated
Feb 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Veronica Berrios
Title
Clinic Manager
Phone
(386) 775-6879

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Chiropractor 111N00000X CH11028 FL Primary

Addresses

Primary practice location

2415 S Volusia Ave Ste A2
Orange City, FL 32763-7623

Mailing address

2275 N Volusia Ave Ste 100
Orange City, FL 32763-2833
Phone (386) 775-6879

Other practice location 1

2275 N Volusia Ave Ste 100
Orange City, FL 32763-2833
Phone (386) 775-6879

Other names 1

  • Wellspring Regenerative Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608002775 FL Part B Supplier - Clinic/Group Practice 5193093490 Receives reassigned benefits from 4 practitioners
Practice locations: Orange City, FL

National Provider Directory

National Provider Directory

Locations

701 Ridgewood Ave
#B
Holly Hill, FL 32117
Phone (386) 775-6879

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1760930325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 N VOLUSIA AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327632833",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 S VOLUSIA AVE STE A2",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637623",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 N Volusia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327632833",
            "country_code": "US",
            "telephone_number": "386-775-6879",
            "fax_number": "386-775-0307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPRING HEALTH - ORANGE CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "386-775-6879"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.