EVOLVED CHIROPRACTIC
NPI 1548039621
Chiropractor in Oak Creek, WI
About Evolved Chiropractic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVOLVED CHIROPRACTIC (NPI 1548039621) is a healthcare organization registered as a chiropractor in Oak Creek, Wisconsin and active in the NPI registry since December 2023. The organization lists Jon Anthony Mudlaff, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evolved Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Evolved Chiropractic, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Evolved Chiropractic's NPI number?
The NPI number for Evolved Chiropractic is 1548039621. It was assigned to this organization in the NPPES registry on December 29, 2023.
Where is Evolved Chiropractic located?
Evolved Chiropractic is located at 331 E Puetz Rd Ste 101, Oak Creek, WI 53154. The listed phone number is (414) 667-2838.
What is Evolved Chiropractic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Evolved Chiropractic enrolled in Medicare?
Yes. Evolved Chiropractic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evolved Chiropractic?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Evolved Chiropractic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Evolved Chiropractic was last updated on December 29, 2023. 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.
# Evolved Chiropractic · NPI 1548039621
Chiropractor organization in Oak Creek, Wisconsin. Organization record, active in the CMS NPPES registry since December 29, 2023.
## Identity
- **NPI:** 1548039621 (Entity type: Organization)
- **Enumerated:** December 29, 2023
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Jon Mudlaff, OWNER
## Practice location
- **Address:** 331 E PUETZ RD STE 101, Oak Creek, WI 53154-3254
- **Phone:** (414) 667-2838
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548039621) · Data from the CMS NPPES public registry.