Wakeman Chiropractic – Chiropractor, NPI 1245318492

Wakeman Chiropractic is a healthcare provider. based in Palm coast, Florida. specializing in Chiropractor. The organization holds a License No. CH5831 (FL). The NPI Number for Wakeman Chiropractic is 1245318492

Main info

Organization
Name
Wakeman Chiropractic
NPI
1245318492
Phone
(386) 673-0201
Address
120 Cypress Edge Dr Ste 201
Authorized Official
PETER J WAKEMAN OWNER/PRESIDENT DC
Enumeration Date
2 November 2006
Last Update Date
5 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness80
Years active:19State licenses:3Digital endpointsUpdated within 12 months

Provider Addresses for Wakeman Chiropractic

  • 120 Cypress Edge Dr Ste 201

    Palm Coast, FL 321648454

    Phone: (386) 673-0201

    Fax: (386) 677-8143

    Type: Location

  • 5821 S Williamson Blvd Ste 206

    Port Orange, FL 321286102

    Phone: (386) 673-0201

    Fax: (386) 677-8143

    Type: Location

  • 305 MEMORIAL MEDICAL PKWY STE 305

    DAYTONA BEACH, FL 321175169

    Phone: (386) 673-0201

    Fax: (386) 677-8143

    Type: Mailing

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: 2004-06-11

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
O20040611000886OClinic/Group PracticeFLTBD

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

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32164)

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Reviews

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Frequently asked questions

How do payers reference Wakeman Chiropractic?
For Wakeman Chiropractic, use NPI 1245318492 as the unique 10-digit identifier.
Is there an active status for Wakeman Chiropractic?
For scheduling context, Wakeman Chiropractic is shown as active in the registry.
How would a patient describe Wakeman Chiropractic's focus?
For Wakeman Chiropractic, the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with Wakeman Chiropractic?
Directory geography for Wakeman Chiropractic centers on Palm Coast, Florida.
When was this NPI issued?
Enumeration for Wakeman Chiropractic is noted as November 2, 2006 where the registry provides it.

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