DR. KEVAN D. KRUSE (DC) – Nutrition Chiropractor, NPI 1861422677

DR. KEVAN D. KRUSE (DC) is a healthcare provider. based in Brandon, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH 6698 (FL). The NPI Number for DR. KEVAN D. KRUSE (DC) is 1861422677

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVAN D. KRUSE (DC)
NPI
1861422677
Phone
(813) 654-5413
Address
641 W LUMSDEN RD
Enumeration Date
4 July 2006
Last Update Date
31 August 2012

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
8136545413
Graduation Year
1992 (34 years ago)
PAC ID
4587685409
Group Practice PAC ID
2163679523
Professional Enrollment ID
I20051207000733
Address ID
FL335115911BR641XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

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Provider Addresses for DR. KEVAN D. KRUSE (DC)

  • West Lumsden Road, Brandon, Hillsborough County, Florida, 33511, United States

    BRANDON, FL 335115911

    Phone: (813) 654-5413

    Fax: (813) 643-1457

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051207000733IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions34363$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163679523View full group profile
NameSpecialtyState
C H I R O P R A C T I CVA

Reviews

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Frequently asked questions

What number should I use to identify DR. KEVAN D. KRUSE (DC) for billing?
Administrative and clinical systems typically use NPI 1861422677 for DR. KEVAN D. KRUSE (DC).
Should I treat DR. KEVAN D. KRUSE (DC) as an active provider?
Patients and plans typically see DR. KEVAN D. KRUSE (DC) as active in the national extract.
What does the directory say DR. KEVAN D. KRUSE (DC) does?
Insurance directories may phrase it differently, but here DR. KEVAN D. KRUSE (DC) maps to Nutrition Chiropractor. Clinical services aligned with this taxonomy classification.
Is DR. KEVAN D. KRUSE (DC) tied to Brandon, Florida?
If you are local to Brandon, Florida, DR. KEVAN D. KRUSE (DC) may be relevant to your search.
Can I export DR. KEVAN D. KRUSE (DC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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