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MATTHEW RYAN WAGNER
NPI 1053041137
Social Worker - Clinical in Santa Fe, NM

Active since June 13, 2022PECOS Enrolled
6601 VALENTINE WAY, SANTA FE, NM 87507(505) 988-1951 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Matthew Ryan Wagner NPPES

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

MATTHEW RYAN WAGNER (NPI 1053041137) is an individual clinical provider in Santa Fe, New Mexico, licensed in New Mexico (SWB-2022-0777) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053041137
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW RYAN WAGNER
Location Address6601 VALENTINE WAYSanta Fe, NM 87507-7301
Mailing Address6601 Valentine WaySanta Fe, NM 87507-7301
Phone(505) 988-1951
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2022
Last NPPES UpdateJanuary 2, 2025
NPPES CertifiedJanuary 2, 2025
✔ NPI 1053041137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · SWB-2022-0777
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6601 VALENTINE WAY, Santa Fe, NM 87507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Ryan Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507352382
PECOS Enrollment IDI20260326003770
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 87507 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
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

SANDRA ALICIA VEGA
Case Manager/Care Coordinator
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 988-1951
BARBARA MONCIVAIS LMHC
Counselor (Mental Health)
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 449-3400
NORAJEAN SALAZAR
Case Manager/Care Coordinator
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 988-1951
TAMARA PROCHORCHIK
Specialist
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 428-8784
BRIANNA DENENNY
Counselor (Mental Health)
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 988-1951
MS. GIOANY LIRA-JASSO B.A.
Case Manager/Care Coordinator
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 988-1951
AMY LUECK MA, LMHC
Counselor (Mental Health)
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 988-1951
ERICA N. TRUJILLO
Case Manager/Care Coordinator
6601 VALENTINE WAY
SANTA FE, NM 87507
Santa Fe County (505) 988-1951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Wagner's NPI number?

The NPI number for Matthew Wagner is 1053041137. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Matthew Wagner located?

Matthew Wagner practices at 6601 Valentine Way, Santa Fe, NM 87507. The listed phone number is (505) 988-1951.

What is Matthew Wagner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Matthew Wagner enrolled in Medicare?

Yes. Matthew Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Wagner was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.