KAYLA ROSE WAGNER RD, LD
NPI 1235492570
Dietitian, Registered in Fergus Falls, MN
About Kayla Rose Wagner Rd, Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYLA ROSE WAGNER RD, LD (NPI 1235492570) is an individual dietitian, registered in Fergus Falls, Minnesota, licensed in Minnesota (3119) and active in the NPI registry since June 2012. She is affiliated with Prairie Ridge Hospital And Health Services and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kayla Rose Wagner Rd, Ld 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.
Medicare Billing Reassignment
Medicare enrollment records show Kayla Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fergus Falls, MN 56537
- Reassigned Medicare billing, Minnesota enrollment
- 183 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prairie Ridge Hospital And Health Services
Critical Access Hospitals · Elbow Lake, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56537 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Kayla Wagner's NPI number?
The NPI number for Kayla Wagner is 1235492570. It was assigned to this individual provider in the NPPES registry on June 21, 2012.
Where is Kayla Wagner located?
Kayla Wagner practices at 712 S Cascade St, Fergus Falls, MN 56537. The listed phone number is (218) 736-8000.
What is Kayla Wagner's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kayla Wagner enrolled in Medicare?
Yes. Kayla 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.
Which organization bills Medicare for Kayla Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Wagner reassigns Medicare benefits to Lake Region Healthcare Corporation (Fergus Falls, MN). The 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 Kayla Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kayla Wagner affiliated with any hospitals?
According to CMS data, Kayla Wagner is affiliated with Prairie Ridge Hospital And Health Services.
When was this NPI record last updated?
The NPPES record for Kayla Wagner was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kayla Rose Wagner, RD, LD · NPI 1235492570
Dietitian, Registered provider in Fergus Falls, Minnesota. Individual provider, active in the CMS NPPES registry since June 21, 2012.
## Identity
- **NPI:** 1235492570 (Entity type: Individual)
- **Enumerated:** June 21, 2012
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 3119 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 712 S CASCADE ST, Fergus Falls, MN 56537-2913
- **Phone:** (218) 736-8000 · **Fax:** (218) 736-8719
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Lake Region Healthcare Corporation (NPI 1285525436, Fergus Falls, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 21, 2014
- **Other identifiers:** Other XE20265137; Other 86007314 (MN); Other 10050503 (MN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1235492570) · Data from the CMS NPPES public registry.