Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861332363 Individual Practitioner Female Practitioner

Devin Nichole Wagner

Speech-Language Pathologist • Fennimore, WI

Professional Overview & Biography Verified Profile Summary

Devin Wagner is a registered healthcare professional specializing in Speech-Language Pathologist in Fennimore, WI. Practice services are available at 1300 INDUSTRIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 Industrial Dr

Fennimore, WI 538099578

Telephone 6088223276
Associated Practice Facility / Clinic
🏢 Cesa #3 Facility NPI 1609042027

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fennimore, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Fennimore, WI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-01
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 1910064580

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.

Secondary Practice Locations

1110 Park St

Boscobel, WI 538051749

Phone: 6083754164

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Bridget Wilson , OTR

Occupational Therapist

NPI 1770724304

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 01, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2026

Registered at 1300 INDUSTRIAL DR, FENNIMORE, WI 538099578 (Tel: 6088223276)

📍
Updated Business Mailing Address April 01, 2026

Registered at 6271 BLUFF RD, LANCASTER, WI 538139577 (Tel: 6087239709)

👤
Provider Name / Credentials Updated April 01, 2026

Recorded as DEVIN WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2026

Speech-Language Pathologist (License #1910064580 in WI)

🟢
Initial NPI Registration & Enumeration April 01, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861332363
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2026
Last Update: April 01, 2026
Sole Proprietor: Yes

Mailing Address

6271 Bluff Rd

Lancaster, WI 538139577

Phone: 6087239709

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.