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WILDWOOD WELLNESS LLC
NPI 1730816661
Chiropractor in Mahtomedi, MN

Active since August 02, 2022
744 WILDWOOD RD, MAHTOMEDI, MN 55115(651) 300-4377 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wildwood Wellness Llc NPPES

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

WILDWOOD WELLNESS LLC (NPI 1730816661) is a healthcare organization registered as a chiropractor in Mahtomedi, Minnesota and active in the NPI registry since August 2022. The organization lists Josh Hague, Owner, as its authorized official.

NPPES Registry Identity

NPI1730816661
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILDWOOD WELLNESS LLC
Location Address744 WILDWOOD RDMahtomedi, MN 55115-1852
Mailing Address312 Warner Ave SWillernie, MN 55090-7702 · (651) 249-5170
Phone(651) 300-4377
Organization SubpartNo
Authorized OfficialJosh HagueOwner · (651) 249-5170
Enumeration DateAugust 2, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1730816661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
744 WILDWOOD RD, Mahtomedi, MN 55115
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Other Identifiers 1

Medicaid1538758479MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wildwood Wellness Llc 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 Wildwood Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joshua Hague, D.C.
Chiropractic
NPI 1558375451
976 GRAND AVE
Saint Paul, MN 55105
(651) 292-0050
✔ Accepts Medicare11 mi

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 Wildwood Wellness LLC's NPI number?

The NPI number for Wildwood Wellness LLC is 1730816661. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Wildwood Wellness LLC located?

Wildwood Wellness LLC is located at 744 Wildwood Rd, Mahtomedi, MN 55115. The listed phone number is (651) 300-4377.

What is Wildwood Wellness LLC's specialty?

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

Is Wildwood Wellness LLC enrolled in Medicare?

Yes. Wildwood Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wildwood Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wildwood Wellness LLC. 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.

What insurance does Wildwood Wellness LLC accept?

Health plans from HealthPartners list Wildwood Wellness LLC 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 Wildwood Wellness LLC was last updated on August 2, 2022. 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.