SHANNON R. WYMAN (D.C.) – Chiropractor, NPI 1629125356

SHANNON R. WYMAN (D.C.) is a healthcare provider. based in Fairbanks, Alaska. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 0408 (AK). The NPI Number for SHANNON R. WYMAN (D.C.) is 1629125356

Main info

Male
22 Years Of Experience
Name
SHANNON R. WYMAN (D.C.)
NPI
1629125356
Phone
(907) 456-4234
Address
515 7TH AVE STE 230
Enumeration Date
4 January 2007
Last Update Date
16 January 2019

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
9074564234
Graduation Year
2004 (22 years ago)
PAC ID
5092780486
Group Practice PAC ID
1658263413
Professional Enrollment ID
I20040830000457
Address ID
AK997014949FA515XXAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

176 CHIROPRACTIC in AK

Provider Addresses for SHANNON R. WYMAN (D.C.)

  • 515 7TH AVE STE 230

    FAIRBANKS, AK 997014949

    Phone: (907) 456-4234

    Fax: (907) 451-9168

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040830000457IChiropracticAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions413102$0
98940Chiropractic manipulative treatment, 1-2 spinal regions5023$0
View full utilization report →

Insurance plans in this area (ZIP 99701)

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Provider's Procedures

SHANNON R. WYMAN (D.C.) performs procedures in CHIROPRACTIC. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICAK98940Chiropractic manipulative treatment, 1-2 spinal regions13758

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658263413View full group profile
NameSpecialtyState
C H I R O P R A C T I CAK
C H I R O P R A C T I CAK
C H I R O P R A C T I CAK

Reviews

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Frequently asked questions

Does SHANNON R. WYMAN (D.C.) have a public NPI I can cite?
Public records show SHANNON R. WYMAN (D.C.) under NPI 1629125356.
Does the public listing show SHANNON R. WYMAN (D.C.) as active?
SHANNON R. WYMAN (D.C.)'s NPI record reflects an active status in NPPES.
What does the directory say SHANNON R. WYMAN (D.C.) does?
Insurance directories may phrase it differently, but here SHANNON R. WYMAN (D.C.) maps to Chiropractor. Clinical services aligned with this taxonomy classification.
What city is tied to SHANNON R. WYMAN (D.C.)?
The directory associates SHANNON R. WYMAN (D.C.) with Fairbanks, Alaska. Check all listed addresses for suites or satellite offices.
Who maintains SHANNON R. WYMAN (D.C.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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