KYLE WAGNER
NPI 1104318310
Chiropractor in Covington, WA

Active since June 04, 2018Accepts Medicare Assignment
15610 SE 272ND ST BLDG A, COVINGTON, WA 98042(253) 638-2424 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Wagner NPPES

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

KYLE WAGNER (NPI 1104318310) is an individual chiropractor in Covington, Washington, licensed in Washington (CH60849715) and active in the NPI registry since June 2018. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1104318310
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKYLE WAGNER
Location Address15610 SE 272ND ST BLDG ACovington, WA 98042-4416
Mailing Address15610 Se 272nd St Bldg ACovington, WA 98042-4416
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
NPI 1104318310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH60849715
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
15610 SE 272ND ST BLDG A, Covington, WA 98042

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle Wagner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244575181
PECOS Enrollment IDI20181220000993

Other Providers at the Same Location NPPES 3

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

Massage Therapist
15610 SE 272ND ST BLDG A
COVINGTON, WA 98042
Massage Therapist
15610 SE 272ND ST BLDG A
COVINGTON, WA 98042
Massage Therapist
15610 SE 272ND ST BLDG A
COVINGTON, WA 98042

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 Kyle Wagner's NPI number?

The NPI number for Kyle Wagner is 1104318310. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Kyle Wagner located?

Kyle Wagner practices at 15610 SE 272nd St Bldg A, Covington, WA 98042. The listed phone number is (253) 638-2424.

What is Kyle Wagner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kyle Wagner enrolled in Medicare?

Yes. Kyle Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kyle Wagner accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kyle Wagner 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 Kyle Wagner was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.