DR. EVAN JONATHON WAGONER DC
NPI 1710507488
Chiropractor in Wake Forest, NC
About Dr. Evan Jonathon Wagoner Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EVAN JONATHON WAGONER DC (NPI 1710507488) is an individual chiropractor in Wake Forest, North Carolina, licensed in North Carolina (5176) and active in the NPI registry since April 2020. He is a graduate of Sherman College Of Straight Chiropractic (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Dr. Evan Jonathon Wagoner Dc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Evan Wagoner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wake Forest, NC 27587
- Reassigned Medicare billing, North Carolina enrollment
Smithfield, NC 27577
- Reassigned Medicare billing, North Carolina enrollment
- 2 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.
Areas of Expertise CMS Part B claims 2
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.
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 Evan Wagoner's NPI number?
The NPI number for Evan Wagoner is 1710507488. It was assigned to this individual provider in the NPPES registry on April 22, 2020.
Where is Evan Wagoner located?
Evan Wagoner practices at 1408 Woodland Hills Trl Apt 204, Wake Forest, NC 27587. The listed phone number is (260) 573-1249.
What is Evan Wagoner's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Evan Wagoner enrolled in Medicare?
Yes. Evan Wagoner 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 Evan Wagoner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Wagoner reassigns Medicare benefits to 2 organizations: Wagoner Holdings PA (Wake Forest, NC) and Smithfield Chiropractic PLLC (Smithfield, NC). 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 Evan Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Wagoner accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Evan Wagoner 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 Evan Wagoner was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Evan Jonathon Wagoner, DC · NPI 1710507488
Chiropractor provider in Wake Forest, North Carolina. Individual provider, active in the CMS NPPES registry since April 22, 2020.
## Identity
- **NPI:** 1710507488 (Entity type: Individual)
- **Enumerated:** April 22, 2020
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 5176 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1408 WOODLAND HILLS TRL, APT 204, Wake Forest, NC 27587-1778
- **Phone:** (260) 573-1249
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wagoner Holdings PA (NPI 1679236400, Wake Forest, NC); Smithfield Chiropractic PLLC (NPI 1427911981, Smithfield, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sherman College Of Straight Chiropractic, class of 2020
## Record status
- **NPPES last updated:** October 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1710507488) · Data from the CMS NPPES public registry.