HEALTHSOURCE OF NW FLORIDA
NPI 1104015866
Chiropractor in Pensacola, FL

Active since October 18, 2007
2122 W NINE MILE RD, PENSACOLA, FL 32534(850) 473-5555(850) 473-5505 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 1, 2017 and 1 more (4 updates tracked since 2016).

About Healthsource Of Nw Florida NPPES

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

HEALTHSOURCE OF NW FLORIDA (NPI 1104015866) is a healthcare organization registered as a chiropractor in Pensacola, Florida and active in the NPI registry since October 2007. The organization maintains a secondary practice location in Pace and lists Jason D Rabinowitz, Owner Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1104015866
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF NORTHWEST FLORIDA LLC
Location Address2122 W NINE MILE RDPensacola, FL 32534-9464
Mailing Address2122 W Nine Mile RdPensacola, FL 32534-9464 · (850) 473-5555 · Fax (850) 473-5505
Fax(850) 473-5505
Organization SubpartNo
Authorized OfficialJason D RabinowitzOwner Chiropractor · (850) 473-5555
Enumeration DateOctober 18, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1104015866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in FL · CH9112✔ Licensed in FL · CH7205✔ Licensed in FL · CH11561✔ Licensed in FL · CH11826✔ Licensed in FL · CH12186
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.
2122 W NINE MILE RD, Pensacola, FL 32534

Other Names 1

Doing Business AsHealthsource Of Nw Florida

Secondary Practice Location 1

Location 14650 Woodbine RdPace, FL 32571-8717 · Phone (850) 995-5773 · Fax (850) 995-5713

Other Identifiers 1

OtherBM255AFL · Medicare Ptan

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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)

Healthsource Of Nw Florida is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 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 IDO20090325000529Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Healthsource Of NW Florida, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Chiropractic
NPI 1730652496
2122 W NINE MILE RD
Pensacola, FL 32534
(850) 473-5555
✔ Accepts MedicareSame address
Chiropractic
NPI 1922087923
2122 W NINE MILE RD
Pensacola, FL 32534
(850) 473-5555
Same address
Chiropractic
NPI 1902090756
1449 W NINE MILE RD STE 5
Pensacola, FL 32534
(850) 473-5555
0.8 mi
Chiropractic
NPI 1285805556
4650 WOODBINE RD
Pace, FL 32571
(850) 995-5773
✔ Accepts Medicare9.2 mi
Chiropractic
NPI 1124890702
1090 SCENIC HWY
Pensacola, FL 32503
(850) 473-5555
✔ Accepts Medicare11 mi
Chiropractic
NPI 1992260400
1090 SCENIC HWY
Pensacola, FL 32503
(850) 473-5555
✔ Accepts Medicare11 mi
Chiropractic
NPI 1700755600
1090 SCENIC HWY
Pensacola, FL 32503
(850) 473-5555
11 mi
Chiropractic
NPI 1285349613
1090 SCENIC HWY
Pensacola, FL 32503
(850) 473-5555
✔ Accepts Medicare11 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 Healthsource Of Northwest Florida LLC's NPI number?

The NPI number for Healthsource Of Northwest Florida LLC is 1104015866. It was assigned to this organization in the NPPES registry on October 18, 2007. The provider is doing business as Healthsource Of NW Florida.

Where is Healthsource Of Northwest Florida LLC located?

Healthsource Of Northwest Florida LLC is located at 2122 W Nine Mile Rd, Pensacola, FL 32534. The listed phone number is (850) 473-5555.

What is Healthsource Of Northwest Florida LLC's specialty?

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

Is Healthsource Of Northwest Florida LLC enrolled in Medicare?

Yes. Healthsource Of Northwest Florida LLC is registered in the Medicare PECOS enrollment system.

When is Healthsource Of Northwest Florida LLC'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 December 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 Healthsource Of Northwest Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Chiropractic, reassign their Medicare billing to Healthsource Of Northwest Florida LLC. 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, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthsource Of Northwest Florida LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Healthsource Of Northwest Florida LLC 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 Healthsource Of Northwest Florida LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.