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SPINAL SOLUTIONS HEALTH AND WELLNESS
NPI 1083297915
Chiropractor in St Augustine, FL

Active since April 29, 2021
276 PASEO REYES DR, ST AUGUSTINE, FL 32095(570) 778-0083 Get Directions Write a Review

NPPES record last updated: May 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 31, 2021, Apr 29, 2021 (2 updates tracked since 2021).

About Spinal Solutions Health And Wellness NPPES

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

SPINAL SOLUTIONS HEALTH AND WELLNESS (NPI 1083297915) is a healthcare organization registered as a chiropractor in St Augustine, Florida and active in the NPI registry since April 2021. The organization lists Derek Sisak, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1083297915
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPINAL SOLUTIONS HEALTH AND WELLNESS
Location Address276 PASEO REYES DRSt Augustine, FL 32095-8462
Mailing Address200 Front Door LnSt Augustine, FL 32095-8543 · (570) 778-0083
Phone(570) 778-0083
Organization SubpartNo
Authorized OfficialDerek SisakChiropractor · (570) 778-0083
Enumeration DateApril 29, 2021
Last NPPES UpdateMay 31, 20212 updates tracked since enumeration
NPPES CertifiedMay 31, 2021
✔ NPI 1083297915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
276 PASEO REYES DR, St Augustine, FL 32095
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spinal Solutions Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20210719001549Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spinal Solutions Health And Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Adam Marogil, DC
Chiropractic
NPI 1922968718
276 PASEO REYES DR
St Augustine, FL 32095
(904) 217-3982
Same address
Derek Sisak, DC
Chiropractic
NPI 1699272153
2109 INDIA RD
Charlottesville, VA 22901
(434) 978-4888
✔ PECOS579 mi

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 Spinal Solutions Health And Wellness's NPI number?

The NPI number for Spinal Solutions Health And Wellness is 1083297915. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Spinal Solutions Health And Wellness located?

Spinal Solutions Health And Wellness is located at 276 Paseo Reyes Dr, St Augustine, FL 32095. The listed phone number is (570) 778-0083.

What is Spinal Solutions Health And Wellness's specialty?

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

Is Spinal Solutions Health And Wellness enrolled in Medicare?

Yes. Spinal Solutions Health And Wellness is registered in the Medicare PECOS enrollment system.

When is Spinal Solutions Health And Wellness's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spinal Solutions Health And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Spinal Solutions Health And Wellness. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spinal Solutions Health And Wellness was last updated on May 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.