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DR. RICHARD G FENN D.C.
NPI 1063511350
Chiropractor in Summerfield, FL

Active since September 22, 2006
10935 SE 177TH PL STE 106, SUMMERFIELD, FL 34491(561) 626-5433(561) 626-3371 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2024, Apr 26, 2024 (2 updates tracked since 2024).

About Dr. Richard G Fenn D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD G FENN D.C. (NPI 1063511350) is an individual chiropractor in Summerfield, Florida, licensed in Florida (CH5263) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063511350
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RICHARD G FENNCredential: D.C.
Location Address10935 SE 177TH PL STE 106Summerfield, FL 34491-8975
Mailing Address1696 Se Hillmoor Dr Ste CPort St Lucie, FL 34952-7699 · (647) 402-0303 · Fax (561) 626-3371
Phone(561) 626-5433
Fax(561) 626-3371
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1063511350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH5263
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
10935 SE 177TH PL STE 106, Summerfield, FL 34491
Open in Google Maps ↗

Other Identifiers 1

Other77947FL · Bcbs Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard G Fenn D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Richard Fenn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Restore Health Group LLC
Same address
Chiropractor
10935 SE 177TH PL STE 206
Summerfield, FL 34491
  • Reassigned Medicare billing, Florida enrollment
NPI 1205682655 (647) 402-0303

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 Richard Fenn's NPI number?

The NPI number for Richard Fenn is 1063511350. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Richard Fenn located?

Richard Fenn practices at 10935 SE 177th Pl Ste 106, Summerfield, FL 34491. The listed phone number is (561) 626-5433.

What is Richard Fenn's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Richard Fenn enrolled in Medicare?

Yes. Richard Fenn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Fenn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Fenn reassigns Medicare benefits to Restore Health Group LLC (Summerfield, FL). The 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 Richard Fenn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Fenn accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Providence Health Plan and Wellpoint list Richard Fenn 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 Richard Fenn was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.