DR. CODY BRYAN BOSWELL DC
NPI 1700733318
Chiropractor in St Augustine, FL

Active since March 12, 2026Accepts Medicare Assignment
1690 US HIGHWAY 1 S STE F, ST AUGUSTINE, FL 32084(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Cody Bryan Boswell Dc NPPES

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

DR. CODY BRYAN BOSWELL DC (NPI 1700733318) is an individual chiropractor in St Augustine, Florida, licensed in Florida (CH15839) and active in the NPI registry since March 2026. He maintains 2 additional practice locations and is a graduate of Other (2026).

NPPES Registry Identity

NPI1700733318
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CODY BRYAN BOSWELLCredential: DC
Location Address1690 US HIGHWAY 1 S STE FSt Augustine, FL 32084-6024
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (623) 241-8678 · Fax (480) 499-8459
Fax(904) 634-0203
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1700733318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH15839
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.
1690 US HIGHWAY 1 S STE F, St Augustine, FL 32084

Secondary Practice Locations 2

Location 1300 Saint Elizabeth Way Ste 210St Johns, FL 32259-1153 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 245 Groover LoopSt Augustine, FL 32086-6548 · Phone (904) 634-0640 · Fax (904) 634-0203

Accepted 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. Cody Bryan Boswell Dc 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 ID7719462555
PECOS Enrollment IDI20260331000506

Medicare Billing Reassignment

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

Orthopaedic Surgery
2627 RIVERSIDE AVE STE 300
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 134 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 10

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

Physical Therapist
1690 US HIGHWAY 1 S STE F
ST AUGUSTINE, FL 32084
Physical Therapist
1690 US HIGHWAY 1 S STE F
ST AUGUSTINE, FL 32084
Physical Therapy Assistant
1690 US HIGHWAY 1 S STE F
SAINT AUGUSTINE, FL 32084
Physical Therapist
1690 US HIGHWAY 1 S STE F
ST AUGUSTINE, FL 32084
Occupational Therapist
1690 US HIGHWAY 1 S STE F
ST AUGUSTINE, FL 32084
Physical Therapist
1690 US HIGHWAY 1 S STE F
ST AUGUSTINE, FL 32084
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1690 US HIGHWAY 1 S STE F
ST AUGUSTINE, FL 32084
Physical Therapy Assistant
1690 US HIGHWAY 1 S STE F
SAINT AUGUSTINE, FL 32084

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 Cody Boswell's NPI number?

The NPI number for Cody Boswell is 1700733318. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Where is Cody Boswell located?

Cody Boswell practices at 1690 Us Highway 1 S Ste F, St Augustine, FL 32084. The listed phone number is (904) 634-0640.

What is Cody Boswell's specialty?

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

Is Cody Boswell enrolled in Medicare?

Yes. Cody Boswell 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 Cody Boswell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Boswell reassigns Medicare benefits to Southeast Orthopedic Specialists, LLC (Jacksonville, 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 Cody Boswell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Boswell accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Cody Boswell 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 Cody Boswell was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.