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KOTEUAISA TANSWANIE WILSON CH
NPI 1295035558
Chiropractor in Lakeland, FL

Active since November 02, 2010
202 LAKE MIRIAM DR STE W3, LAKELAND, FL 33813(863) 647-0808(863) 250-0715 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Koteuaisa Tanswanie Wilson Ch NPPES

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

KOTEUAISA TANSWANIE WILSON CH (NPI 1295035558) is an individual chiropractor in Lakeland, Florida, licensed in Florida (CH10077) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1295035558
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKOTEUAISA TANSWANIE WILSONCredential: CH
Location Address202 LAKE MIRIAM DR STE W3Lakeland, FL 33813-2179
Mailing Address202 Lake Miriam Dr Ste W3Lakeland, FL 33813-2179 · (863) 647-0808 · Fax (863) 250-0715
Phone(863) 647-0808
Fax(863) 250-0715
Sole ProprietorYes
Enumeration DateNovember 2, 2010
Last NPPES UpdateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
✔ NPI 1295035558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH10077
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.
202 LAKE MIRIAM DR STE W3, Lakeland, FL 33813
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Other Identifiers 1

OtherCH10077FL · Fl Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Koteuaisa Tanswanie Wilson Ch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Koteuaisa Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heavenly Touch Chiropractic Rehabilitation
Same address
Chiropractor
202 LAKE MIRIAM DR, SUITE W-3
Lakeland, FL 33813
  • Reassigned Medicare billing, Florida enrollment
NPI 1609241884 (863) 647-0808

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 Koteuaisa Wilson's NPI number?

The NPI number for Koteuaisa Wilson is 1295035558. It was assigned to this individual provider in the NPPES registry on November 2, 2010.

Where is Koteuaisa Wilson located?

Koteuaisa Wilson practices at 202 Lake Miriam Dr Ste W3, Lakeland, FL 33813. The listed phone number is (863) 647-0808.

What is Koteuaisa Wilson's specialty?

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

Is Koteuaisa Wilson enrolled in Medicare?

Yes. Koteuaisa Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Koteuaisa Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koteuaisa Wilson reassigns Medicare benefits to Heavenly Touch Chiropractic Rehabilitation (Lakeland, FL). 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 Koteuaisa Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Koteuaisa Wilson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan and 2 other insurers list Koteuaisa Wilson 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 Koteuaisa Wilson was last updated on October 5, 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.