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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DEVIN WAGENMAN DC
NPI 1508524943
Chiropractor in Green Bay, WI

Active since December 02, 2021
2525 W MASON ST, GREEN BAY, WI 54303(920) 429-2844(920) 429-2845 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Devin Wagenman Dc NPPES

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

DR. DEVIN WAGENMAN DC (NPI 1508524943) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (6153) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1508524943
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DEVIN WAGENMANCredential: DC
Location Address2525 W MASON STGreen Bay, WI 54303-4838
Mailing Address2525 W Mason StGreen Bay, WI 54303-4838 · (920) 429-2844 · Fax (920) 429-2845
Phone(920) 429-2844
Fax(920) 429-2845
Sole ProprietorNo
Enumeration DateDecember 2, 2021
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1508524943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 6153✔ Licensed in GA · CHIR010928✔ Licensed in FL · CH13821
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.
2525 W MASON ST, Green Bay, WI 54303
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Devin Wagenman Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Devin Wagenman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Wellness Way Green Bay LLC
Same address
Chiropractor
2525 W MASON ST
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 7 clinicians in this Medicare group
NPI 1003837170 (920) 429-2844
Wellness Way Marietta LLC
754 mi
Chiropractor
1355 ROSWELL RD STE 152
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
NPI 1659159713 (678) 809-0154

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 12

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

DR. STEPHEN LEMMONS D.C.
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
THE WELLNESS WAY GREEN BAY LLC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
KENDRA ALLEN DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. SAMUEL WAGNER DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. PATRICK MICHAEL FLYNN D.C.
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. DESTINY DECKER DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (607) 857-4087
JASON WILLIAM NOBLES DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
ANTHONY JAMES OTTO DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844

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 Devin Wagenman's NPI number?

The NPI number for Devin Wagenman is 1508524943. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Devin Wagenman located?

Devin Wagenman practices at 2525 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 429-2844.

What is Devin Wagenman's specialty?

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

Is Devin Wagenman enrolled in Medicare?

Yes. Devin Wagenman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Devin Wagenman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devin Wagenman reassigns Medicare benefits to 2 organizations: The Wellness Way Green Bay LLC (Green Bay, WI) and Wellness Way Marietta LLC (Marietta, GA). Each 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 Devin Wagenman'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 Devin Wagenman was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.