AMANDA MARIE KUGEL (D.C.) – Chiropractor, NPI 1174879993

AMANDA MARIE KUGEL (D.C.) is a healthcare provider. based in Tumwater, Washington. specializing in Chiropractor. They hold the professional credentials D.C.. They hold a License No. CH60297581 (WA). The NPI Number for AMANDA MARIE KUGEL (D.C.) is 1174879993

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MARIE KUGEL (D.C.)
NPI
1174879993
Phone
(360) 352-8112
Address
204 PINEHURST DR SW
Enumeration Date
30 July 2012
Last Update Date
9 July 2019

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3603528112
Graduation Year
2012 (14 years ago)
PAC ID
1052560372
Group Practice PAC ID
5890931067
Professional Enrollment ID
I20121002000497
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for AMANDA MARIE KUGEL (D.C.)

  • 204 PINEHURST DR SW

    STE 103

    TUMWATER, WA 985014500

    Phone: (360) 352-8112

    Fax: (360) 352-8113

    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: 2012-10-02

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
I20121002000497IChiropracticWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98501)

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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: 5890931067View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

Can I use this page to confirm AMANDA MARIE KUGEL (D.C.)'s NPI?
Yes. AMANDA MARIE KUGEL (D.C.) is listed with NPI 1174879993 in the public NPI dataset.
Can I rely on AMANDA MARIE KUGEL (D.C.) being an active provider?
As of the registry snapshot, AMANDA MARIE KUGEL (D.C.) is marked active.
What healthcare role does AMANDA MARIE KUGEL (D.C.) hold?
Scheduling teams often label AMANDA MARIE KUGEL (D.C.) under Chiropractor. Clinical services aligned with this taxonomy classification.
Does AMANDA MARIE KUGEL (D.C.) list a practice location?
Patients near Tumwater, Washington may find AMANDA MARIE KUGEL (D.C.) in results; validate coverage separately.
Why does AMANDA MARIE KUGEL (D.C.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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