AMBER JAMES WAGSTAFF RDN
NPI 1093313603
Dietitian, Registered in Canyon Lake, CA

Q: What is Amber Wagstaff's NPI number?

The NPI number for Amber Wagstaff is 1093313603. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Q: What is Amber Wagstaff's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Wagstaff was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 15, 2020

23320 CANYON LAKE DR N, CANYON LAKE, CA 92587(714) 809-2993 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Amber James Wagstaff Rdn NPPES

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

AMBER JAMES WAGSTAFF RDN (NPI 1093313603) is an individual dietitian, registered in Canyon Lake, California and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1093313603

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameAMBER JAMES WAGSTAFFCredential: RDN

Location Address23320 CANYON LAKE DR NCanyon Lake, CA 92587-8007

Mailing Address23320 Canyon Lake Dr NCanyon Lake, CA 92587-8007

Phone(714) 809-2993

Sole ProprietorYes

Enumeration DateOctober 15, 2020

NPPES CertifiedOctober 15, 2020

✔ NPI 1093313603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

23320 CANYON LAKE DR N, Canyon Lake, CA 92587

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber James Wagstaff Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Amber Wagstaff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uhling Consulting, LLC

301 mi

Dietitian, Registered

2375 E CAMELBACK RD STE 600
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
44 clinicians in this Medicare group

NPI 1609171636 (602) 341-5248

Season Clinical Care P.A.

1,174 mi

Dietitian, Registered

6565 N MACARTHUR BLVD STE 225
Irving, TX 75039

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Season Clinical Care PA
64 clinicians in this Medicare group

NPI 1649933565 (888) 807-4117

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face wi G0270

Medical Nutrition Therapy (MNT) reassessment involves reviewing your dietary needs due to a change in your medical condition or treatment. This may include additional hours for kidney disease. This is a one-on-one, face-to-face service to ensure your diet aligns with your health needs.

80 services11 patients

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 Amber Wagstaff's NPI number?

The NPI number for Amber Wagstaff is 1093313603. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Amber Wagstaff located?

Amber Wagstaff practices at 23320 Canyon Lake Dr N, Canyon Lake, CA 92587. The listed phone number is (714) 809-2993.

What is Amber Wagstaff's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amber Wagstaff enrolled in Medicare?

Yes. Amber Wagstaff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amber Wagstaff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Wagstaff reassigns Medicare benefits to 2 organizations: Uhling Consulting, LLC (Phoenix, AZ) and Season Clinical Care P.A. (Irving, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Wagstaff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Wagstaff accept?

Health plans from Blue Cross Blue Shield of Arizona list Amber Wagstaff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Wagstaff was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.