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REVITALIZE CHIROPRACTIC, LLC
NPI 1780192674
Chiropractor in Chesterfield, MO

Active since January 14, 2018
936 CHESTERFIELD PKWY E, CHESTERFIELD, MO 63017(636) 537-0564(314) 775-9870 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 18, 2021, Sep 17, 2020, Jan 14, 2018 (3 updates tracked since 2018).

About Revitalize Chiropractic, Llc NPPES

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

REVITALIZE CHIROPRACTIC, LLC (NPI 1780192674) is a healthcare organization registered as a chiropractor in Chesterfield, Missouri and active in the NPI registry since January 2018. The organization lists Samantha Christine Chapel, Owner, as its authorized official.

NPPES Registry Identity

NPI1780192674
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameREVITALIZE CHIROPRACTIC, LLC
Location Address936 CHESTERFIELD PKWY EChesterfield, MO 63017-2042
Mailing Address936 Chesterfield Pkwy EChesterfield, MO 63017-2042 · (636) 537-0564
Phone(636) 537-0564
Fax(314) 775-9870
Organization SubpartNo
Authorized OfficialSamantha Christine ChapelOwner · (636) 537-0564
Enumeration DateJanuary 14, 2018
Last NPPES UpdateOctober 18, 20213 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1780192674 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.
936 CHESTERFIELD PKWY E, Chesterfield, MO 63017
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revitalize Chiropractic, Llc 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 Revitalize Chiropractic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Samantha Chapel, DC
Chiropractic
NPI 1669989828
936 CHESTERFIELD PKWY E
Chesterfield, MO 63017
(636) 537-0564
✔ 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 Revitalize Chiropractic, LLC's NPI number?

The NPI number for Revitalize Chiropractic, LLC is 1780192674. It was assigned to this organization in the NPPES registry on January 14, 2018.

Where is Revitalize Chiropractic, LLC located?

Revitalize Chiropractic, LLC is located at 936 Chesterfield Pkwy E, Chesterfield, MO 63017. The listed phone number is (636) 537-0564.

What is Revitalize Chiropractic, LLC's specialty?

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

Is Revitalize Chiropractic, LLC enrolled in Medicare?

Yes. Revitalize Chiropractic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revitalize Chiropractic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Revitalize Chiropractic, 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 Revitalize Chiropractic, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Revitalize Chiropractic, 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 Revitalize Chiropractic, LLC was last updated on October 18, 2021. 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.