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WANDA I. NIEVES-MORENO, DC, LLC
NPI 1639463516
Chiropractor in Brandon, FL

Active since June 08, 2011
654 E BLOOMINGDALE AVE, BRANDON, FL 33511(813) 685-5200(813) 654-8758 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wanda I. Nieves-moreno, Dc, Llc NPPES

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

WANDA I. NIEVES-MORENO, DC, LLC (NPI 1639463516), doing business as Brandon Chiropractic And Massage, is a healthcare organization registered as a chiropractor in Brandon, Florida and active in the NPI registry since June 2011. The organization lists Wanda I. Nieves-moreno, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1639463516
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWANDA I. NIEVES-MORENO, DC, LLC
Location Address654 E BLOOMINGDALE AVEBrandon, FL 33511-8111
Mailing Address654 E Bloomingdale AveBrandon, FL 33511-8111 · (813) 685-5200 · Fax (813) 654-8758
Phone(813) 685-5200
Fax(813) 654-8758
Organization SubpartNo
Authorized OfficialWanda I. Nieves-morenoManaging Member · (813) 685-5200
Enumeration DateJune 8, 2011
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1639463516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH8811
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.
654 E BLOOMINGDALE AVE, Brandon, FL 33511
Open in Google Maps ↗

Other Names 1

Doing Business AsBrandon Chiropractic And Massage

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Wanda I. Nieves-moreno, Dc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20120601000419Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wanda I. Nieves-Moreno, Dc, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wanda Nieves Moreno, D.C.
Chiropractic
NPI 1891780037
654 E BLOOMINGDALE AVE
Brandon, FL 33511
(813) 685-5200
✔ 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 Wanda I. Nieves-Moreno, Dc, LLC's NPI number?

The NPI number for Wanda I. Nieves-Moreno, Dc, LLC is 1639463516. It was assigned to this organization in the NPPES registry on June 8, 2011. The provider is doing business as Brandon Chiropractic and Massage.

Where is Wanda I. Nieves-Moreno, Dc, LLC located?

Wanda I. Nieves-Moreno, Dc, LLC is located at 654 E Bloomingdale Ave, Brandon, FL 33511. The listed phone number is (813) 685-5200.

What is Wanda I. Nieves-Moreno, Dc, LLC's specialty?

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

Is Wanda I. Nieves-Moreno, Dc, LLC enrolled in Medicare?

Yes. Wanda I. Nieves-Moreno, Dc, LLC is registered in the Medicare PECOS enrollment system.

When is Wanda I. Nieves-Moreno, Dc, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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 Wanda I. Nieves-Moreno, Dc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wanda I. Nieves-Moreno, Dc, LLC. 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.

What insurance does Wanda I. Nieves-Moreno, Dc, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Wanda I. Nieves-Moreno, Dc, LLC 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 Wanda I. Nieves-Moreno, Dc, LLC was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.