JENNIFER C BOURST (DC PA) – Chiropractor, NPI 1952471997

JENNIFER C BOURST (DC PA) is a healthcare provider. based in Winter garden, Florida. specializing in CHIROPRACTIC. They hold the professional credentials DC PA. They hold a License No. CH 7986 (FL). The NPI Number for JENNIFER C BOURST (DC PA) is 1952471997

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER C BOURST (DC PA)
NPI
1952471997
Phone
(407) 654-4506
Address
13750 W COLONIAL DR
Enumeration Date
8 November 2006
Last Update Date
27 February 2008

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
4076544506
Graduation Year
2000 (26 years ago)
PAC ID
0941233738
Professional Enrollment ID
I20050914000158
Address ID
FL347876142WI13750DRXX401
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 JENNIFER C BOURST (DC PA)

  • Lucky Straws Boba Tea, 13750, West Colonial Drive, Winter Garden, Orange County, Florida, 34787, United States

    SUITE 318

    WINTER GARDEN, FL 347874204

    Phone: (407) 654-4506

    Fax: (407) 654-4506

    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: 2005-09-14

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
I20050914000158IChiropracticFLTBD

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 regions16513$0
View full utilization report →

Insurance plans in this area (ZIP 34787)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER C BOURST (DC PA)?
JENNIFER C BOURST (DC PA) — NPI 1952471997 — is the standard way to identify this listing.
Does CMS list JENNIFER C BOURST (DC PA) as active?
Yes — JENNIFER C BOURST (DC PA) is active in the NPI listing used on this page.
What is JENNIFER C BOURST (DC PA)'s specialty?
The listing groups JENNIFER C BOURST (DC PA) with Chiropractor. Clinical services aligned with this taxonomy classification.
What area does JENNIFER C BOURST (DC PA) serve?
JENNIFER C BOURST (DC PA)'s listing highlights Winter Garden, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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