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AUDRA ROSE KUOPPALA DC
NPI 1306495775
Chiropractor in Bremerton, WA

Active since September 09, 2019
5050 WA STATE HWY 303, SUITE A101, BREMERTON, WA 98311(360) 627-7408 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Audra Rose Kuoppala Dc NPPES

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

AUDRA ROSE KUOPPALA DC (NPI 1306495775) is an individual chiropractor in Bremerton, Washington, licensed in Washington (CH60987430) and active in the NPI registry since September 2019. She maintains a secondary practice location in Kingston.

NPPES Registry Identity

NPI1306495775
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameAUDRA ROSE KUOPPALACredential: DC
Location Address5050 WA STATE HWY 303, SUITE A101Bremerton, WA 98311
Mailing Address8202 Ne State Highway 104 Ste 105Kingston, WA 98346-9454
Phone(360) 627-7408
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
Last NPPES UpdateNovember 27, 2023
✔ NPI 1306495775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH60987430
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.
5050 WA STATE HWY 303, Bremerton, WA 98311
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Other Names 1

Former Name (1)Audra Rose Clement Dc

Secondary Practice Location 1

Location 18202 NE State Highway 104Kingston, WA 98346-9454 · Phone (360) 297-0037

Other Identifiers 4

Medicaid1295287035WA
Medicaid1124105598WA
Medicaid1366890998WA
Medicaid1073032157WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audra Rose Kuoppala Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Audra Kuoppala reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bremerton Wellness Ps
Same address
Chiropractor
5050 HWY 303 NE, SUITE A 101
Bremerton, WA 98311
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Kingston Crossing Wellness Ps
  • 4 clinicians in this Medicare group
NPI 1073032157 (360) 627-7408
Fox Chiropractic Wellness Center Ps
21 mi
Health Service
3715 56TH ST NW
Gig Harbor, WA 98335
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1295990703 (253) 851-5138
Kudick Chiropractic P.S.
42 mi
Chiropractor
1800 COOPER POINT RD SW, BUILDING 24A
Olympia, WA 98502
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Kudick Chiropractic Ps
  • 3 clinicians in this Medicare group
NPI 1124114582 (360) 943-7360

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 Audra Kuoppala's NPI number?

The NPI number for Audra Kuoppala is 1306495775. It was assigned to this individual provider in the NPPES registry on September 9, 2019. The provider is also known as Audra Rose Clement Dc.

Where is Audra Kuoppala located?

Audra Kuoppala practices at 5050 Wa State Hwy 303 Suite A101, Bremerton, WA 98311. The listed phone number is (360) 627-7408.

What is Audra Kuoppala's specialty?

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

Is Audra Kuoppala enrolled in Medicare?

Yes. Audra Kuoppala is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Audra Kuoppala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audra Kuoppala reassigns Medicare benefits to 3 organizations: Bremerton Wellness Ps (Bremerton, WA), Fox Chiropractic Wellness Center Ps (Gig Harbor, WA) and Kudick Chiropractic P.S. (Olympia, WA). Each 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 Audra Kuoppala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audra Kuoppala accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Audra Kuoppala 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 Audra Kuoppala was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.