DR. REBECCA WEIDNER D.C.
NPI 1215335047
Chiropractor in Wauwatosa, WI

Active since December 10, 2014
10625 W NORTH AVE STE LL3, WAUWATOSA, WI 53226(414) 852-1330 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Rebecca Weidner D.c. NPPES

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

DR. REBECCA WEIDNER D.C. (NPI 1215335047) is an individual chiropractor in Wauwatosa, Wisconsin, licensed in Wisconsin (5026-12) and active in the NPI registry since December 2014. She maintains a secondary practice location in Wauwatosa and is a graduate of Other (2014).

NPPES Registry Identity

NPI1215335047
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. REBECCA WEIDNERCredential: D.C.
Location Address10625 W NORTH AVE STE LL3Wauwatosa, WI 53226-2315
Mailing Address10625 W North Ave Ste Ll3Wauwatosa, WI 53226-2315 · (414) 852-1330
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 10, 2014
Last NPPES UpdateJanuary 10, 2019
✔ NPI 1215335047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5026-12
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.
10625 W NORTH AVE STE LL3, Wauwatosa, WI 53226

Secondary Practice Location 1

Location 13800 N Mayfair Rd, NoneWauwatosa, WI 53222-2213 · Phone (414) 852-1330

Other Identifiers 1

Medicaid1215335047WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rebecca Weidner D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113244807
PECOS Enrollment IDI20150317002444

Medicare Billing Reassignment

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

Chiropractor
E5028 US HIGHWAY 14 AND 23 STE 103
Spring Green, WI 53588
  • Reassigned Medicare billing, Wisconsin 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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
350 services38 patients

Other Providers at the Same Location NPPES

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

Chiropractor
10625 W NORTH AVE STE LL3
WAUWATOSA, WI 53226

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 Rebecca Weidner's NPI number?

The NPI number for Rebecca Weidner is 1215335047. It was assigned to this individual provider in the NPPES registry on December 10, 2014.

Where is Rebecca Weidner located?

Rebecca Weidner practices at 10625 W North Ave Ste Ll3, Wauwatosa, WI 53226. The listed phone number is (414) 852-1330.

What is Rebecca Weidner's specialty?

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

Is Rebecca Weidner enrolled in Medicare?

Yes. Rebecca Weidner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebecca Weidner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Weidner reassigns Medicare benefits to Simply Health Chiropractic LLC (Spring Green, WI). 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 Rebecca Weidner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rebecca Weidner was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.