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KITSAP CHIROPRACTIC
NPI 1417897513
Chiropractor in Port Orchard, WA

Active since March 30, 2026
200 BETHEL AVE, PORT ORCHARD, WA 98366(360) 876-4171(360) 876-3495 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Mar 30, 2026 (2 updates tracked since 2026).

About Kitsap Chiropractic NPPES

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

KITSAP CHIROPRACTIC (NPI 1417897513) is a healthcare organization registered as a chiropractor in Port Orchard, Washington and active in the NPI registry since March 2026. The organization lists Jade Hanley, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1417897513
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKITSAP CHIROPRACTIC
Location Address200 BETHEL AVEPort Orchard, WA 98366-5216
Mailing Address200 Bethel AvePort Orchard, WA 98366-5216 · (360) 876-4171 · Fax (360) 876-3495
Phone(360) 876-4171
Fax(360) 876-3495
Organization SubpartNo
Authorized OfficialJade HanleyBilling Specialist · (360) 876-4171
Enumeration DateMarch 30, 2026
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1417897513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
200 BETHEL AVE, Port Orchard, WA 98366
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kitsap Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kitsap Chiropractic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronald Burnett, D.C.
Chiropractic
NPI 1407997091
200 BETHEL AVE
Port Orchard, WA 98366
(512) 796-5393
✔ Accepts MedicareSame address

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 Kitsap Chiropractic's NPI number?

The NPI number for Kitsap Chiropractic is 1417897513. It was assigned to this organization in the NPPES registry on March 30, 2026.

Where is Kitsap Chiropractic located?

Kitsap Chiropractic is located at 200 Bethel Ave, Port Orchard, WA 98366. The listed phone number is (360) 876-4171.

What is Kitsap Chiropractic's specialty?

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

Is Kitsap Chiropractic enrolled in Medicare?

Yes. Kitsap Chiropractic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kitsap Chiropractic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kitsap Chiropractic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kitsap Chiropractic was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.