DR. SPENCER PHILLIP CORRONA DC
NPI 1073492104
Chiropractor in Fort Wayne, IN

Active since September 02, 2025
12812 COLDWATER RD STE 101, FORT WAYNE, IN 46845(260) 445-8389(877) 919-8689 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Spencer Phillip Corrona Dc NPPES

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

DR. SPENCER PHILLIP CORRONA DC (NPI 1073492104) is an individual chiropractor in Fort Wayne, Indiana, licensed in Indiana (08003545A) and active in the NPI registry since September 2025. He is a graduate of Logan College Of Chiropractic (2025).

NPPES Registry Identity

NPI1073492104
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SPENCER PHILLIP CORRONACredential: DC
Location Address12812 COLDWATER RD STE 101Fort Wayne, IN 46845-9516
Mailing Address12812 Coldwater Rd Ste 101Fort Wayne, IN 46845-9516 · (260) 445-8389 · Fax (877) 919-8689
Fax(877) 919-8689
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2025
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1073492104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08003545A
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.
12812 COLDWATER RD STE 101, Fort Wayne, IN 46845

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Spencer Phillip Corrona Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032606363
PECOS Enrollment IDI20251013000612

Medicare Billing Reassignment

Medicare enrollment records show Spencer Corrona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
9206 LIMA RD
Fort Wayne, IN 46818
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Chiropractor
12812 COLDWATER RD STE 101
FORT WAYNE, IN 46845
Acupuncturist
12812 COLDWATER RD STE 101
FORT WAYNE, IN 46845

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 Spencer Corrona's NPI number?

The NPI number for Spencer Corrona is 1073492104. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Spencer Corrona located?

Spencer Corrona practices at 12812 Coldwater Rd Ste 101, Fort Wayne, IN 46845. The listed phone number is (260) 445-8389.

What is Spencer Corrona's specialty?

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

Is Spencer Corrona enrolled in Medicare?

Yes. Spencer Corrona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Spencer Corrona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Corrona reassigns Medicare benefits to Crossroads Wellness Center, LLC (Fort Wayne, IN). The 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 Spencer Corrona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Corrona accept?

Health plans from Anthem Blue Cross and Blue Shield list Spencer Corrona 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 Spencer Corrona was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.