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JACQUELYN CHRISTINE WAGNER MD
NPI 1235793100
Pediatrics in Salina, KS

Active since April 26, 2019PECOS Enrolled
501 S SANTA FE AVE, SUITE 100, SALINA, KS 67401(785) 825-2273(785) 825-2275 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2022, Apr 26, 2019 (2 updates tracked since 2019).

About Jacquelyn Christine Wagner Md NPPES

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

JACQUELYN CHRISTINE WAGNER MD (NPI 1235793100) is an individual pediatrics provider in Salina, Kansas, licensed in Kansas (04-46272) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235793100
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJACQUELYN CHRISTINE WAGNERCredential: MD
Location Address501 S SANTA FE AVE, SUITE 100Salina, KS 67401-4189
Mailing Address501 S Santa Fe Ave, Suite 100Salina, KS 67401-4189 · (785) 825-2273 · Fax (785) 825-2275
Phone(785) 825-2273
Fax(785) 825-2275
Sole ProprietorNo
Enumeration DateApril 26, 2019
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1235793100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KS · 04-46272✔ Licensed in AZ · R77391✔ Licensed in KS · 0446272
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 04-46272 (KS)
501 S SANTA FE AVE, Salina, KS 67401
Open in Google Maps ↗

Other Identifiers 1

Medicaid30004822670001KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Christine Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jacquelyn Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salina Regional Health Center, Inc.
Same address
Endocrinology, Diabetes & Metabolism
501 S SANTA FE AVE STE 200
Salina, KS 67401
  • Reassigned Medicare billing, Kansas enrollment
  • 220 clinicians in this Medicare group
NPI 1447790407 (785) 452-7269

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 67401 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
Most-billed visit code 99214
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.

MS. STEPHANIE A SUTTON LPC
Counselor (Professional)
501 S SANTA FE AVE, SUITE 300
SALINA, KS 67401
Saline County (785) 452-4930
LANCE KRUEGER PA-C
Physician Assistant (Surgical)
501 S SANTA FE AVE, SUITE 200
SALINA, KS 67401
Saline County (785) 452-7562
SALINA CLINIC L.L.C.
Clinic/Center (Multi-Specialty)
501 S SANTA FE AVE, SUITE 100
SALINA, KS 67401
Saline County (785) 827-9631
MS. KYRIE GIANNE RITZDORF PA-C
Physician Assistant
501 S SANTA FE AVE, SUITE 200
SALINA, KS 67401
Saline County (785) 452-7245
SALINA CLINIC L.L.C RURAL HEALTH CLINIC
Clinic/Center (Rural Health)
501 S SANTA FE AVE, 100
SALINA, KS 67401
Saline County (785) 827-9631
MIKAELA ANN ANDERES APRN, FNP-C
Nurse Practitioner (Family)
501 S SANTA FE AVE
SALINA, KS 67401
Saline County (785) 452-7000
DR. MICHAEL K. LAWRENCE M.D.
Hospitalist
501 S SANTA FE AVE, SUITE 200
SALINA, KS 67401
Saline County (785) 452-7269
LESLY TATIANA ORTIZ PA-C
Physician Assistant
501 S SANTA FE AVE, SUITE 300
SALINA, KS 67401
Saline County (785) 823-1032

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 Jacquelyn Wagner's NPI number?

The NPI number for Jacquelyn Wagner is 1235793100. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is Jacquelyn Wagner located?

Jacquelyn Wagner practices at 501 S Santa Fe Ave Suite 100, Salina, KS 67401. The listed phone number is (785) 825-2273.

What is Jacquelyn Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacquelyn Wagner enrolled in Medicare?

Yes. Jacquelyn Wagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacquelyn Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Wagner reassigns Medicare benefits to Salina Regional Health Center, Inc. (Salina, KS). 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 Jacquelyn Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Wagner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Jacquelyn 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 Jacquelyn Wagner was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.