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STEPHANE PROVENCHER D.C.
NPI 1376729376
Chiropractor in Gainesville, VA

Active since January 21, 2008Accepts Medicare Assignment
8006 CRESCENT PARK DR, GAINESVILLE, VA 20155(571) 248-0695(571) 248-0964 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jul 6, 2018, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

About Stephane Provencher D.c. NPPES

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

STEPHANE PROVENCHER D.C. (NPI 1376729376) is an individual chiropractor in Gainesville, Virginia, licensed in Virginia (0104556839) and active in the NPI registry since January 2008. He is a graduate of Logan College Of Chiropractic (2007).

NPPES Registry Identity

NPI1376729376
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSTEPHANE PROVENCHERCredential: D.C.
Location Address8006 CRESCENT PARK DRGainesville, VA 20155
Mailing Address8006 Crescent Park DrGainesville, VA 20155-3444 · (571) 248-0695 · Fax (571) 248-0964
Phone(571) 248-0695
Fax(571) 248-0964
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2007
Enumeration DateJanuary 21, 2008
Last NPPES UpdateJune 11, 20194 updates tracked since enumeration
✔ NPI 1376729376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in VA · 0104556839✔ Licensed in MO · 2008001511
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.
8006 CRESCENT PARK DR, Gainesville, VA 20155
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephane Provencher 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 ID4789763756
PECOS Enrollment IDI20131021001524

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.
190 services17 patients

Other Providers at the Same Location NPPES 4

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

BENCHMARK PHYSICAL THERAPY OF VA, LLC
Physical Therapist
8006 CRESCENT PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 436-2288
STEPHANE PROVENCHER LLC
Chiropractor
8006 CRESCENT PARK DR
GAINESVILLE, VA 20155
Prince William County (571) 248-0695
STEPHANE PROVENCHER LLC
Chiropractor
8006 CRESCENT PARK DR
GAINESVILLE, VA 20155
Prince William County (571) 248-0695
JOBIN V JAMES DPT
Physical Therapist
8006 CRESCENT PARK DR
GAINESVILLE, VA 20155
Prince William County (703) 436-2288

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 Stephane Provencher's NPI number?

The NPI number for Stephane Provencher is 1376729376. It was assigned to this individual provider in the NPPES registry on January 21, 2008.

Where is Stephane Provencher located?

Stephane Provencher practices at 8006 Crescent Park Dr, Gainesville, VA 20155. The listed phone number is (571) 248-0695.

What is Stephane Provencher's specialty?

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

Is Stephane Provencher enrolled in Medicare?

Yes. Stephane Provencher 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.

When was this NPI record last updated?

The NPPES record for Stephane Provencher was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.