Shelby Wagner, MS, CCC-SLP in Kenosha, WI - Medicare Qualified Speech Language Pathologist Provider

Shelby Wagner, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Kenosha, Wisconsin. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is 5219 88th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 653-0850.

Shelby Wagner is licensed to practice in Texas (license number 121280) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1760976450.

Contact Information

	Shelby Wagner, MS, CCC-SLP
	5219 88th Ave, Kenosha, WI 53144-7468
	(262) 653-0850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelby Wagner
Gender	Female
Speciality	Qualified Speech Language Pathologist
Experience	8 Years
Location	5219 88th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelby Wagner graduated from medical school in 2018

NPI Data:

NPI Number: 1760976450
Provider Enumeration Date: 06/18/2018
Last Update Date: 05/19/2026

Medicare PECOS Information:

PECOS PAC ID: 8628548930
Enrollment ID: I20260602003010

Medical Identifiers

Medical identifiers for Shelby Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760976450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	121280 (Texas)	Primary
235Z00000X	Speech-language Pathologist	4646-154 (Wisconsin)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelby Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shelby Wagner, MS, CCC-SLP 5219 88th Ave, Kenosha, WI 53144-7468 Ph: () -	Shelby Wagner, MS, CCC-SLP 5219 88th Ave, Kenosha, WI 53144-7468 Ph: (262) 653-0850

Reviews and Comments

Speech-Language Pathologist in Kenosha, WI

Mrs. Auburn Lea Andes, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6300 67th St, Kenosha, WI 53142 Phone: 262-484-4724
Noel Zanotti, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143 Phone: 262-658-4141 Fax: 262-658-0618
Jacqueline Ann Kubis, SLP- CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3415 Sheridan Road, Kenosha, WI 53140 Phone: 262-653-2941
Diane Arndt, SPEECH THERAPIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5219 88th Ave, Kenosha, WI 53144 Phone: 262-653-0850
Kaitlyn King, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5219 88th Ave., Kenosha, WI 53144 Phone: 262-653-0850
Tarah A Fedenia, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8400 Sheridan Rd, Kenosha, WI 53143 Phone: 262-658-4141
Annie Cai, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7610 Pershing Blvd, Kenosha, WI 53142 Phone: 262-948-3600

Shelby Wagner, MS, CCC-SLP - Medicare Speech-Language Pathologist in Kenosha, WI