DR. WILLIAM ROBERT WAGNER DRNP, LCSW
NPI 1043219587
Nurse Practitioner - Adult Health in Kyle, SD

Q: What is William Wagner's NPI number?

The NPI number for William Wagner is 1043219587. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is William Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for William Wagner was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2005PECOS Enrolled

1000 HEALTH CENTER ROAD, KYLE HEALTH CENTER / DHHS/IHS, KYLE, SD 57752(917) 626-9011 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. William Robert Wagner Drnp, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM ROBERT WAGNER DRNP, LCSW (NPI 1043219587) is an individual adult health provider in Kyle, South Dakota, licensed in New York (F304782) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043219587

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameDR. WILLIAM ROBERT WAGNERCredential: DRNP, LCSW

Location Address1000 HEALTH CENTER ROAD, KYLE HEALTH CENTER / DHHS/IHSKyle, SD 57752

Mailing Address1000 Health Center Road, Kyle Health Center / Dhhs/ihsKyle, SD 57752 · (917) 626-9011

Phone(917) 626-9011

Sole ProprietorNo

Enumeration DateJuly 18, 2005

Last NPPES UpdateApril 29, 2016

✔ NPI 1043219587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F304782

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License R055430 (NY)

Also ListedRegistered NurseTaxonomy 163W00000X · License 541137 (NY)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License F340615 (NY)

1000 HEALTH CENTER ROAD, Kyle, SD 57752

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Other Identifiers 2

Medicare UPINQ59896

Medicare PINS966N122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Robert Wagner Drnp, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57752 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHLEEN RAE THOMPSON R,N,

Registered Nurse