VENICE VILLAGE CHIROPRACTIC CLINIC PA
NPI 1033302492
Chiropractor in Venice, FL
About Venice Village Chiropractic Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VENICE VILLAGE CHIROPRACTIC CLINIC PA (NPI 1033302492) is a healthcare organization registered as a chiropractor in Venice, Florida and active in the NPI registry since August 2007. The organization lists Gary E Bolen, President Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Venice Village Chiropractic Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Venice Village Chiropractic Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Venice Village Chiropractic Clinic PA's NPI number?
The NPI number for Venice Village Chiropractic Clinic PA is 1033302492. It was assigned to this organization in the NPPES registry on August 20, 2007.
Where is Venice Village Chiropractic Clinic PA located?
Venice Village Chiropractic Clinic PA is located at 4140 Woodmere Park Blvd Ste 2, Venice, FL 34293. The listed phone number is (941) 497-7424.
What is Venice Village Chiropractic Clinic PA's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Venice Village Chiropractic Clinic PA enrolled in Medicare?
Yes. Venice Village Chiropractic Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Venice Village Chiropractic Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Venice Village Chiropractic Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Venice Village Chiropractic Clinic PA accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Venice Village Chiropractic Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Venice Village Chiropractic Clinic PA was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Venice Village Chiropractic Clinic Pa · NPI 1033302492
Chiropractor organization in Venice, Florida. Organization record, active in the CMS NPPES registry since August 20, 2007.
## Identity
- **NPI:** 1033302492 (Entity type: Organization)
- **Enumerated:** August 20, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Gary Bolen, PRESIDENT OWNER
## Practice location
- **Address:** 4140 WOODMERE PARK BLVD, STE 2, Venice, FL 34293-2205
- **Phone:** (941) 497-7424 · **Fax:** (941) 493-8413
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 20, 2007
- **Other identifiers:** Medicare PIN 55735 (FL); Medicare UPIN U71893 (FL); Medicaid 38112550 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1033302492) · Data from the CMS NPPES public registry.