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SHELBY WAGNER M.S., CCC-SLP
NPI 1760976450
Speech-Language Pathologist in Kenosha, WI

Active since June 18, 2018
5219 88TH AVE, KENOSHA, WI 53144(262) 653-0850 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Jun 18, 2018 (2 updates tracked since 2018).

About Shelby Wagner M.s., Ccc-slp NPPES

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

SHELBY WAGNER M.S., CCC-SLP (NPI 1760976450) is an individual speech-language pathologist provider in Kenosha, Wisconsin, licensed in Texas (121280) and active in the NPI registry since June 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1760976450
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHELBY WAGNERCredential: M.S., CCC-SLP
Location Address5219 88TH AVEKenosha, WI 53144-7468
Mailing Address5219 88th AveKenosha, WI 53144-7468
Phone(262) 653-0850
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 18, 2018
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1760976450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in TX · 121280✔ Licensed in WI · 4646-154
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5219 88TH AVE, Kenosha, WI 53144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Wagner M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628548930
PECOS Enrollment IDI20260602003010

Medicare Billing Reassignments

2

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

Expressable Therapy PC
1,004 mi
Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Wisconsin enrollment
  • 25 clinicians in this Medicare group
NPI 1134875370 (512) 377-6318
Expressable Speech-Language Pathology, P.C.
1,007 mi
Speech-Language Pathologist
3800 N LAMAR BLVD STE 200
Austin, TX 78756
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Expressable Speech-Language Pathology PC
  • 167 clinicians in this Medicare group
NPI 1649875857 (512) 377-6318

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 20

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

KERRY JACQUET PT, DPT
Physical Therapist (Pediatrics)
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
DIANE ARNDT SPEECH THERAPIST
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
CHRISTINE KALLSEN DPT
Physical Therapist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 287-0090
SOPHIA POLARIS M.S., CCC-SLP
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
ELIZABETH SIKORSKI OTR
Occupational Therapist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
MRS. JENNIFER JILLIANN JAMES
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 653-0850
CASSANDRA ANNE SOLVIK
Speech-Language Pathologist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (262) 287-0090
RACHEL WOLFE
Occupational Therapist
5219 88TH AVE
KENOSHA, WI 53144
Kenosha County (608) 345-7562

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 Shelby Wagner's NPI number?

The NPI number for Shelby Wagner is 1760976450. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Shelby Wagner located?

Shelby Wagner practices at 5219 88th Ave, Kenosha, WI 53144. The listed phone number is (262) 653-0850.

What is Shelby Wagner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shelby Wagner enrolled in Medicare?

Yes. Shelby Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelby Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Wagner reassigns Medicare benefits to 2 organizations: Expressable Therapy PC (Austin, TX) and Expressable Speech-Language Pathology, P.C. (Austin, TX). 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 Shelby Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Wagner accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Shelby Wagner 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 Shelby Wagner was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.