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DR. CALEB MICHAEL FEDEWA DC
NPI 1881230688
Chiropractor in Oconto Falls, WI

Active since November 27, 2019
420 N CHESTNUT AVE STE B, OCONTO FALLS, WI 54154(920) 848-2392(920) 239-8135 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2020, Nov 27, 2019 (2 updates tracked since 2019).

About Dr. Caleb Michael Fedewa Dc NPPES

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

DR. CALEB MICHAEL FEDEWA DC (NPI 1881230688) is an individual chiropractor in Oconto Falls, Wisconsin, licensed in Wisconsin (5546-12) and active in the NPI registry since November 2019. He is a graduate of Palmer College Chiropractic - Davenport (2019).

NPPES Registry Identity

NPI1881230688
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CALEB MICHAEL FEDEWACredential: DC
Location Address420 N CHESTNUT AVE STE BOconto Falls, WI 54154-1109
Mailing Address420 N Chestnut Ave Ste BOconto Falls, WI 54154-1109 · (920) 848-2392 · Fax (920) 239-8135
Phone(920) 848-2392
Fax(920) 239-8135
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2019
Enumeration DateNovember 27, 2019
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1881230688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5546-12
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.
420 N CHESTNUT AVE STE B, Oconto Falls, WI 54154
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caleb Michael Fedewa Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688084791
PECOS Enrollment IDI20201030002175

Medicare Billing Reassignment

Medicare enrollment records show Caleb Fedewa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlas Aligned LLC
Same address
Chiropractor
420 N CHESTNUT AVE STE B
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1265030589 (920) 848-2392

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

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.
245 services27 patients

Other Providers at the Same Location NPPES

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

ATLAS ALIGNED LLC
Chiropractor
420 N CHESTNUT AVE STE B
OCONTO FALLS, WI 54154
Oconto County (920) 848-2392

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 Caleb Fedewa's NPI number?

The NPI number for Caleb Fedewa is 1881230688. It was assigned to this individual provider in the NPPES registry on November 27, 2019.

Where is Caleb Fedewa located?

Caleb Fedewa practices at 420 N Chestnut Ave Ste B, Oconto Falls, WI 54154. The listed phone number is (920) 848-2392.

What is Caleb Fedewa's specialty?

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

Is Caleb Fedewa enrolled in Medicare?

Yes. Caleb Fedewa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caleb Fedewa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Fedewa reassigns Medicare benefits to Atlas Aligned LLC (Oconto Falls, WI). The 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 Caleb Fedewa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Caleb Fedewa was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.