1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Chiropractor
  6. NPI Profile

WAGNER FAMILY CHIROPRACTIC SC
NPI 1295857928
Chiropractor in Appleton, WI

Active since April 04, 2007
N110 BRUX RD, APPLETON, WI 54915(920) 968-0464(920) 968-0482 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 11, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Wagner Family Chiropractic Sc NPPES

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

WAGNER FAMILY CHIROPRACTIC SC (NPI 1295857928) is a healthcare organization registered as a chiropractor in Appleton, Wisconsin and active in the NPI registry since April 2007. The organization lists Michael Wagner, Secretary, as its authorized official.

NPPES Registry Identity

NPI1295857928
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWAGNER FAMILY CHIROPRACTIC SC
Location AddressN110 BRUX RDAppleton, WI 54915-9439
Mailing AddressN110 Brux RdAppleton, WI 54915-9439 · (920) 968-0464 · Fax (920) 968-0482
Phone(920) 968-0464
Fax(920) 968-0482
Organization SubpartNo
Authorized OfficialMichael WagnerSecretary · (920) 968-0464
Enumeration DateApril 4, 2007
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1295857928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4062-012
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.
N110 BRUX RD, Appleton, WI 54915
Open in Google Maps ↗

Other Identifiers 2

Medicaid38957300WI
Medicaid38961100WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wagner Family Chiropractic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wagner Family Chiropractic Sc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Megan Gordley, DC
Chiropractic
NPI 1356333447
N110 BRUX RD
Appleton, WI 54915
(920) 968-0464
✔ Accepts MedicareSame address
Antonio Lopez, DC
Chiropractic
NPI 1164291415
N110 BRUX RD
Appleton, WI 54915
(920) 968-0464
✔ Accepts MedicareSame address
Jody Wagner, D.C.
Chiropractic
NPI 1487656799
N110 BRUX RD
Appleton, WI 54915
(920) 968-0464
✔ Accepts MedicareSame address
Michael Wagner, D.C.
Chiropractic
NPI 1740283183
N110 BRUX RD
Appleton, WI 54915
(920) 968-0464
✔ Accepts MedicareSame address

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

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 Wagner Family Chiropractic Sc's NPI number?

The NPI number for Wagner Family Chiropractic Sc is 1295857928. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Wagner Family Chiropractic Sc located?

Wagner Family Chiropractic Sc is located at N110 Brux Rd, Appleton, WI 54915. The listed phone number is (920) 968-0464.

What is Wagner Family Chiropractic Sc's specialty?

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

Is Wagner Family Chiropractic Sc enrolled in Medicare?

Yes. Wagner Family Chiropractic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wagner Family Chiropractic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Chiropractic, reassign their Medicare billing to Wagner Family Chiropractic Sc. A 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 the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wagner Family Chiropractic Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners list Wagner Family Chiropractic Sc 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 Wagner Family Chiropractic Sc was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.