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Active NPI 1245257146 Individual Practitioner Male Practitioner

Daniel James Wautlet

Chiropractor • Green Bay, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Wautlet is a certified Chiropractor practicing in Green Bay, WI. With approximately 46 years of clinical experience since completing medical education in 1980, Daniel Wautlet delivers high-quality medical care to the local community at 1071 CORMIER RD.

Daniel Wautlet is affiliated with Menominee Indian Tribe Of Wisconsin and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1071 Cormier Rd

Green Bay, WI 543044350

Telephone 9204990123
Fax 9204995919

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Green Bay, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs +25.8 yrs vs City Avg
City Avg: 20.2 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
116 Specialists

Practicing in Green Bay, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wautlet (46 Years) 46 Yrs
Green Bay Specialty Average (20.2 Years) 20.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
234 36 $65.00 $27.97

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 1597-012

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
38764100 (WI)

Hospital & Practice Group Affiliations

Menominee Indian Tribe Of Wisconsin

W3275 Wolf River Dr, Keshena, WI 541359202

Phone: 7157993361

Menominee Indian Tribe Of Wisconsin

W3275 Wolf River Rd P O Box, Keshena, WI 541350970

Menominee Indian Tribe Of Wisconsin

W3275 Wolf River Rd, Keshena, WI 541350970

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2012

Registered at 1071 CORMIER RD, GREEN BAY, WI 543044350 (Tel: 9204990123)

📍
Updated Business Mailing Address September 25, 2012

Registered at 1071 CORMIER RD, GREEN BAY, WI 543044350 (Tel: 9204990123)

👤
Provider Name / Credentials Updated September 25, 2012

Recorded as DANIEL WAUTLET

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2012

Chiropractor (License #1597-012 in WI)

🟢
Initial NPI Registration & Enumeration July 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245257146
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2006
Last Update: September 25, 2012
Sole Proprietor: Yes

Mailing Address

1071 Cormier Rd

Green Bay, WI 543044350

Phone: 9204990123

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.