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JENNIFER C BOURST DC PA
NPI 1184804577
Chiropractor in Winter Garden, FL

Active since November 14, 2007
13750 W COLONIAL DR, SUITE 318, WINTER GARDEN, FL 34787(407) 654-4506(407) 654-4506 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer C Bourst Dc Pa NPPES

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

JENNIFER C BOURST DC PA (NPI 1184804577) is a healthcare organization registered as a chiropractor in Winter Garden, Florida and active in the NPI registry since November 2007. The organization lists Jennifer C Bourst, President, as its authorized official.

NPPES Registry Identity

NPI1184804577
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJENNIFER C BOURST DC PA
Location Address13750 W COLONIAL DR, SUITE 318Winter Garden, FL 34787-4204
Mailing Address13750 W Colonial Dr, Suite 318Winter Garden, FL 34787-4204 · (407) 654-4506 · Fax (407) 654-4506
Phone(407) 654-4506
Fax(407) 654-4506
Organization SubpartNo
Authorized OfficialJennifer C BourstPresident · (407) 654-4506
Enumeration DateNovember 14, 2007
Last NPPES UpdateMarch 25, 2008
✔ NPI 1184804577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH 7986
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.
13750 W COLONIAL DR, Winter Garden, FL 34787
Open in Google Maps ↗

Other Identifiers 2

OtherK8143FL · Group Identification Numb
Medicare UPINU83640FL

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)

Jennifer C Bourst Dc Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer C Bourst Dc PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennifer Bourst, DC PA
Chiropractic
NPI 1952471997
13750 W COLONIAL DR SUITE 318
Winter Garden, FL 34787
(407) 654-4506
✔ 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 Jennifer C Bourst Dc PA's NPI number?

The NPI number for Jennifer C Bourst Dc PA is 1184804577. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Jennifer C Bourst Dc PA located?

Jennifer C Bourst Dc PA is located at 13750 W Colonial Dr Suite 318, Winter Garden, FL 34787. The listed phone number is (407) 654-4506.

What is Jennifer C Bourst Dc PA's specialty?

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

Is Jennifer C Bourst Dc PA enrolled in Medicare?

Yes. Jennifer C Bourst Dc PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer C Bourst Dc PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Jennifer C Bourst Dc PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer C Bourst Dc PA was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.