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

Q: 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.

Q: What is Matthew Wagner's specialty?

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

Q: 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 21 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.

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: October 18, 2026.

On this page

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Green Cliff Counseling, LLC

6.7 mi

Clinical

1012 MARQUEZ PL UNIT 211
Santa Fe, NM 87505

Reassigned Medicare billing, New Mexico enrollment

NPI 1285502203 (202) 770-7064

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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