Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. WANDA IVELISSE NIEVES-MORENO D.C.
NPI 1891780037
Chiropractor in Brandon, FL

Active since September 14, 2005
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: August 09, 2026.

About Dr. Wanda Ivelisse Nieves-moreno D.c. NPPES

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

DR. WANDA IVELISSE NIEVES-MORENO D.C. (NPI 1891780037) is an individual chiropractor in Brandon, Florida, licensed in Florida (CH8811) and active in the NPI registry since September 2005. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1891780037
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. WANDA IVELISSE NIEVES-MORENOCredential: D.C.
Location Address654 E BLOOMINGDALE AVEBrandon, FL 33511-8111
Mailing Address654 E Bloomingdale AveBrandon, FL 33511-8111 · (813) 685-5200 · Fax (813) 654-8758
Fax(813) 654-8758
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 14, 2005
Last NPPES UpdateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
NPI 1891780037 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

Other Identifiers 2

Medicaid381946900FL
OtherU6011ZFL · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Wanda Ivelisse Nieves-moreno D.c. 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 ID3375569734
PECOS Enrollment IDI20051015000059

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
190 services18 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
139 services17 patients

Other Providers at the Same Location NPPES

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

Chiropractor
654 E BLOOMINGDALE AVE
BRANDON, FL 33511

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 Nieves-moreno's NPI number?

The NPI number for Wanda Nieves-moreno is 1891780037. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Wanda Nieves-moreno located?

Wanda Nieves-moreno practices at 654 E Bloomingdale Ave, Brandon, FL 33511. The listed phone number is (813) 685-5200.

What is Wanda Nieves-moreno's specialty?

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

Is Wanda Nieves-moreno enrolled in Medicare?

Yes. Wanda Nieves-moreno 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.

What insurance does Wanda Nieves-moreno accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan, UnitedHealthcare and Wellpoint list Wanda Nieves-moreno 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 Nieves-moreno 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 7 days 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.