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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NIKI WAGNER
NPI 1063380061
Case Manager/Care Coordinator in Idaho Falls, ID

Active since October 29, 2025
3240 S WOODRUFF AVE, IDAHO FALLS, ID 83404(208) 974-5200 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Niki Wagner NPPES

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

NIKI WAGNER (NPI 1063380061) is an individual case manager/care coordinator provider in Idaho Falls, Idaho and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1063380061
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameNIKI WAGNER
Location Address3240 S WOODRUFF AVEIdaho Falls, ID 83404-8305
Mailing Address3240 S Woodruff AveIdaho Falls, ID 83404-8305 · (208) 974-5200
Phone(208) 974-5200
Sole ProprietorNo
Enumeration DateOctober 29, 2025
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1063380061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3240 S WOODRUFF AVE, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 11

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

BETH DUENES
Peer Specialist
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 974-5200
KATHRYN HOWELL
Case Manager/Care Coordinator
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 974-5200
RICHARD OLAVESON
Peer Specialist
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 974-5200
JESSICA HAMMON
Peer Specialist
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 936-7004
MERCEDES DAVIS
Social Worker
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 974-5200
ANGELA CHAVEZ
Peer Specialist
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 974-5200
LUKE & SPENCER BEHAVIORAL HEALTH PLLC
Community/Behavioral Health
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 406-4822
BETH ROTH
Case Manager/Care Coordinator
3240 S WOODRUFF AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 974-5200

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 Niki Wagner's NPI number?

The NPI number for Niki Wagner is 1063380061. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Niki Wagner located?

Niki Wagner practices at 3240 S Woodruff Ave, Idaho Falls, ID 83404. The listed phone number is (208) 974-5200.

What is Niki Wagner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Niki Wagner was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.