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AWAKEN CHIROPRACTIC CENTER INC
NPI 1174167613
Chiropractor in Port St Lucie, FL

Active since October 28, 2019
544 NW UNIVERSITY BLVD STE 103, PORT ST LUCIE, FL 34986(772) 763-1311 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2022, May 17, 2022, Aug 4, 2020 and 2 more (5 updates tracked since 2019).

About Awaken Chiropractic Center Inc NPPES

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

AWAKEN CHIROPRACTIC CENTER INC (NPI 1174167613) is a healthcare organization registered as a chiropractor in Port St Lucie, Florida and active in the NPI registry since October 2019. The organization lists Victoria Kustarz, Secretary, as its authorized official.

NPPES Registry Identity

NPI1174167613
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameAWAKEN CHIROPRACTIC CENTER INC
Location Address544 NW UNIVERSITY BLVD STE 103Port St Lucie, FL 34986-2283
Mailing Address544 Nw University Blvd Ste 103Port St Lucie, FL 34986-2283 · (772) 763-1311
Phone(772) 763-1311
Organization SubpartNo
Authorized OfficialVictoria KustarzSecretary · (772) 763-1311
Enumeration DateOctober 28, 2019
Last NPPES UpdateJune 9, 20225 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1174167613 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.
544 NW UNIVERSITY BLVD STE 103, Port St Lucie, FL 34986
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Awaken Chiropractic Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Awaken Chiropractic Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Robert Kustarz, MS DC
Chiropractic
NPI 1407378854
544 NW UNIVERSITY BLVD STE 103
Port St Lucie, FL 34986
(772) 763-1311
✔ Accepts MedicareSame address
Victoria Kustarz, DC
Chiropractic
NPI 1801318076
544 NW UNIVERSITY BLVD STE 103
Port St Lucie, FL 34986
(772) 763-1311
✔ Accepts MedicareSame address

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 Awaken Chiropractic Center Inc's NPI number?

The NPI number for Awaken Chiropractic Center Inc is 1174167613. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Awaken Chiropractic Center Inc located?

Awaken Chiropractic Center Inc is located at 544 NW University Blvd Ste 103, Port St Lucie, FL 34986. The listed phone number is (772) 763-1311.

What is Awaken Chiropractic Center Inc's specialty?

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

Is Awaken Chiropractic Center Inc enrolled in Medicare?

Yes. Awaken Chiropractic Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Awaken Chiropractic Center Inc?

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

When was this NPI record last updated?

The NPPES record for Awaken Chiropractic Center Inc was last updated on June 9, 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.