ADVANCED SPINE JOINT AND WELLNESS CENTER
NPI 1376881144
Family Medicine in Medina, OH
About Advanced Spine Joint And Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED SPINE JOINT AND WELLNESS CENTER (NPI 1376881144) is a healthcare organization registered as a family medicine in Medina, Ohio and active in the NPI registry since January 2013. The organization lists Brandon Bupp, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Spine Joint And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Advanced Spine Joint And Wellness Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
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 Advanced Spine Joint And Wellness Center's NPI number?
The NPI number for Advanced Spine Joint And Wellness Center is 1376881144. It was assigned to this organization in the NPPES registry on January 29, 2013.
Where is Advanced Spine Joint And Wellness Center located?
Advanced Spine Joint And Wellness Center is located at 5020 Victor Dr, Medina, OH 44256. The listed phone number is (330) 433-4243.
What is Advanced Spine Joint And Wellness Center's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Advanced Spine Joint And Wellness Center enrolled in Medicare?
Yes. Advanced Spine Joint And Wellness Center is registered in the Medicare PECOS enrollment system.
When is Advanced Spine Joint And Wellness Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Ohio, Multi-Specialty - Physician) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Advanced Spine Joint And Wellness Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Advanced Spine Joint And Wellness Center. 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. The largest specialties are Chiropractic (4), Nurse Practitioner (3) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Advanced Spine Joint And Wellness Center accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Advanced Spine Joint And Wellness Center 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 Advanced Spine Joint And Wellness Center was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Advanced Spine Joint And Wellness Center · NPI 1376881144
Family Medicine organization in Medina, Ohio. Organization record, active in the CMS NPPES registry since January 29, 2013.
## Identity
- **NPI:** 1376881144 (Entity type: Organization)
- **Enumerated:** January 29, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Brandon Bupp, PARTNER
## Practice location
- **Address:** 5020 VICTOR DR, Medina, OH 44256-9688
- **Phone:** (330) 433-4243 · **Fax:** (330) 721-6508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Ohio, Multi-Specialty - Physician) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (4), Nurse Practitioner (3), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376881144) · Data from the CMS NPPES public registry.