DR. GLEN ARTHUR GUNDERSON D.C
NPI 1891865168
Chiropractor in Tampa, FL
About Dr. Glen Arthur Gunderson D.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLEN ARTHUR GUNDERSON D.C (NPI 1891865168) is an individual chiropractor in Tampa, Florida, licensed in Florida (CH5287) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern College Of Chiropractic (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Glen Arthur Gunderson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Glen Gunderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tampa, FL 33624
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Jachimek Chiropractic Clinic PA
Tampa, FL 33624
- Reassigned Medicare billing, Florida enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
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 Glen Gunderson's NPI number?
The NPI number for Glen Gunderson is 1891865168. It was assigned to this individual provider in the NPPES registry on November 8, 2006.
Where is Glen Gunderson located?
Glen Gunderson practices at 5111 Erhlich Road Suite 128, Tampa, FL 33624. The listed phone number is (813) 960-2225.
What is Glen Gunderson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Glen Gunderson enrolled in Medicare?
Yes. Glen Gunderson 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 organizations bill Medicare for Glen Gunderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glen Gunderson reassigns Medicare benefits to 2 organizations: Jachimek Chiropractic Clinic, P.A. (Tampa, FL) and Jachimek Wellness Center (Tampa, FL). Each 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 Glen Gunderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glen Gunderson accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan and 2 other insurers list Glen Gunderson 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 Glen Gunderson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Glen Arthur Gunderson, D.C · NPI 1891865168
Chiropractor provider in Tampa, Florida. Individual provider, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1891865168 (Entity type: Individual)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH5287 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5111 ERHLICH ROAD, SUITE 128, Tampa, FL 33624
- **Phone:** (813) 960-2225
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jachimek Chiropractic Clinic, P.A. (NPI 1316128739, Tampa, FL); Jachimek Wellness Center (NPI 1013779925, Tampa, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northwestern College Of Chiropractic, class of 1985
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN U64842 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1891865168) · Data from the CMS NPPES public registry.