Individual provider Active NPI

Hannah Marie Rupel, D.C.

  • Chiropractor
  • Lutz, FL
National Provider Identifier
1871304204
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH-15350 Issued in FL
Practice address
17551 N Dale Mabry Hwy
Lutz, FL 33548-4521
Phone
(813) 618-5589
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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-15350 FL Primary

Addresses

Primary practice location

17551 N Dale Mabry Hwy
Lutz, FL 33548-4521

Mailing address

190 112TH Ave N Apt 1209
Saint Petersburg, FL 33716-3269
Phone (262) 309-5662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250203003714 FL Practitioner - Chiropractic 3072043298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightstar Chiropractic and Progressive Rehab LLCGroup PAC ID 3870732316, 2 clinicians

Practice addresses (Care Compare)

17551 N Dale Mabry Hwy
Lutz, FL 33548-4521
Phone (813) 618-5589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH-15350FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brightstar Chiropractic and Progressive Rehab, LLC Chiropractor CurrentSince Feb 1, 2025 Accepting new patients
Pearl Institute PL PastSince Jan 19, 2025 Accepting new patients

Locations

17551 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 454-4044

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1871304204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 112TH AVE N APT 1209",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163269",
            "telephone_number": "262-309-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17551 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521",
            "telephone_number": "813-618-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPEL",
        "first_name": "HANNAH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH-15350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.