DR. AVA RAE HULTGREN DC
NPI 1093509416
Chiropractor in South Burlington, VT
About Dr. Ava Rae Hultgren Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AVA RAE HULTGREN DC (NPI 1093509416) is an individual chiropractor in South Burlington, Vermont, licensed in Vermont (006.0134218) and active in the NPI registry since April 2025. She is a graduate of Life Chiropractic College (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ava Rae Hultgren Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ava Hultgren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Burlington, VT 05403
- Reassigned Medicare billing, Vermont enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ava Hultgren's NPI number?
The NPI number for Ava Hultgren is 1093509416. It was assigned to this individual provider in the NPPES registry on April 9, 2025.
Where is Ava Hultgren located?
Ava Hultgren practices at 4 Market St Ste 2, South Burlington, VT 05403. The listed phone number is (802) 777-1913.
What is Ava Hultgren's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ava Hultgren enrolled in Medicare?
Yes. Ava Hultgren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ava Hultgren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ava Hultgren reassigns Medicare benefits to Sommers Chiropractic LLC (South Burlington, VT). 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 Ava Hultgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ava Hultgren was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Dr. Ava Rae Hultgren, DC · NPI 1093509416
Chiropractor provider in South Burlington, Vermont. Individual provider, active in the CMS NPPES registry since April 9, 2025.
## Identity
- **NPI:** 1093509416 (Entity type: Individual)
- **Enumerated:** April 9, 2025
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 006.0134218 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 MARKET ST STE 2, South Burlington, VT 05403-6279
- **Phone:** (802) 777-1913
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Sommers Chiropractic LLC (NPI 1952810509, South Burlington, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Life Chiropractic College, class of 2025
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093509416) · Data from the CMS NPPES public registry.