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DR. NATHANIEL LUKE PUYAU D.C.
NPI 1316184179
Chiropractor in Jacksonville Beach, FL

Active since January 15, 2009Accepts Medicare Assignment
422 OSCEOLA AVE, JACKSONVILLE BEACH, FL 32250(904) 246-9955(904) 246-9956 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nathaniel Luke Puyau D.c. NPPES

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

DR. NATHANIEL LUKE PUYAU D.C. (NPI 1316184179) is an individual chiropractor in Jacksonville Beach, Florida, licensed in Florida (CH 9668) and active in the NPI registry since January 2009. He is a graduate of Palmer College Chiropractic - Davenport (2008).

NPPES Registry Identity

NPI1316184179
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NATHANIEL LUKE PUYAUCredential: D.C.
Location Address422 OSCEOLA AVEJacksonville Beach, FL 32250-4077
Mailing Address422 Osceola AveJacksonville Beach, FL 32250-4077 · (904) 246-9955 · Fax (904) 246-9956
Phone(904) 246-9955
Fax(904) 246-9956
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2008
Enumeration DateJanuary 15, 2009
Last NPPES UpdateMarch 13, 2013
✔ NPI 1316184179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH 9668
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.
422 OSCEOLA AVE, Jacksonville Beach, FL 32250
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Other Identifiers 1

Medicare PINGX422AFL

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 and accepts Medicare assignment

Dr. Nathaniel Luke Puyau D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284888900
PECOS Enrollment IDI20130205000568

Medicare Billing Reassignment

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

Prado Chiropractic And Acupuncture
Same address
Chiropractor
422 OSCEOLA AVE
Jacksonville Beach, FL 32250
  • Reassigned Medicare billing, Florida enrollment
NPI 1063982320 (904) 246-9955

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
577 services64 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TALTON CHIROPRACTIC CLINIC LLC
Chiropractor
422 OSCEOLA AVE
JACKSONVILLE BEACH, FL 32250
Duval County (904) 246-9955
PRADO CHIROPRACTIC AND ACUPUNCTURE
Chiropractor
422 OSCEOLA AVE
JACKSONVILLE BEACH, FL 32250
Duval County (904) 246-9955
DR. RICHARD JAMES TALTON D.C.
Chiropractor
422 OSCEOLA AVE
JACKSONVILLE BEACH, FL 32250
Duval County (904) 246-9955

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 Nathaniel Puyau's NPI number?

The NPI number for Nathaniel Puyau is 1316184179. It was assigned to this individual provider in the NPPES registry on January 15, 2009.

Where is Nathaniel Puyau located?

Nathaniel Puyau practices at 422 Osceola Ave, Jacksonville Beach, FL 32250. The listed phone number is (904) 246-9955.

What is Nathaniel Puyau's specialty?

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

Is Nathaniel Puyau enrolled in Medicare?

Yes. Nathaniel Puyau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nathaniel Puyau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Puyau reassigns Medicare benefits to Prado Chiropractic And Acupuncture (Jacksonville Beach, 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 Nathaniel Puyau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathaniel Puyau 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 1 other insurer list Nathaniel Puyau 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 Nathaniel Puyau was last updated on March 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.