DR. EVAN JONATHON WAGONER DC
NPI 1710507488
Chiropractor in Wake Forest, NC

Q: 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.

Q: What is Evan Wagoner's specialty?

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

Q: 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.

Active since April 22, 2020Accepts Medicare Assignment

1408 WOODLAND HILLS TRL, APT 204, WAKE FOREST, NC 27587(260) 573-1249 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1710507488

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. EVAN JONATHON WAGONERCredential: DC

Location Address1408 WOODLAND HILLS TRL, APT 204Wake Forest, NC 27587-1778

Mailing Address1408 Woodland Hills Trl, Apt 204Wake Forest, NC 27587-1778 · (260) 573-1249

Phone(260) 573-1249

Sole ProprietorYes

Medical School CMSSherman College Of Straight ChiropracticGraduated 2020

Enumeration DateApril 22, 2020

Last NPPES UpdateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1710507488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NC · 5176

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.

1408 WOODLAND HILLS TRL, Wake Forest, NC 27587

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7416346580

PECOS Enrollment IDI20211110002300

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

279 services29 patients

Chiropractic manipulative treatment, 1-2 spinal regions 98940

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.

200 services22 patients

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.

What insurance does Evan Wagoner accept?

Health plans from Blue Cross and Blue Shield of NC 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.