WYATT WINN
NPI 1528879327
Chiropractor in Mokena, IL

Active since January 20, 2025Accepts Medicare Assignment
11124 FRONT ST, MOKENA, IL 60448(708) 478-9850(630) 812-0780 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wyatt Winn NPPES

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

WYATT WINN (NPI 1528879327) is an individual chiropractor in Mokena, Illinois, licensed in Illinois (038.014254) and active in the NPI registry since January 2025. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1528879327
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameWYATT WINN
Location Address11124 FRONT STMokena, IL 60448-1525
Mailing Address11124 Front StMokena, IL 60448-1525 · (708) 478-9850 · Fax (630) 812-0780
Fax(630) 812-0780
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1528879327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.014254
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.
11124 FRONT ST, Mokena, IL 60448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wyatt Winn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072035153
PECOS Enrollment IDI20250318002488

Medicare Billing Reassignments

2

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

Chiropractor
11124 FRONT ST
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
Chiropractor
338 E OHIO
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 61 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 3

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

Chiropractor
11124 FRONT ST
MOKENA, IL 60448
Chiropractor
11124 FRONT ST
MOKENA, IL 60448
Chiropractor
11124 FRONT ST
MOKENA, IL 60448

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 Wyatt Winn's NPI number?

The NPI number for Wyatt Winn is 1528879327. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Wyatt Winn located?

Wyatt Winn practices at 11124 Front St, Mokena, IL 60448. The listed phone number is (708) 478-9850.

What is Wyatt Winn's specialty?

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

Is Wyatt Winn enrolled in Medicare?

Yes. Wyatt Winn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wyatt Winn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wyatt Winn reassigns Medicare benefits to 2 organizations: Healthsource Of Downtown Mokena (Mokena, IL) and Active Wellness LLC (Chicago, IL). 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 Wyatt Winn'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 Wyatt Winn was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.