WAGNER INDIAN HEALTH SERVICE HEALTH CENTER
NPI 1326066796
Clinic/Center in Wagner, SD

Active since July 17, 2006
111 WASHINGTON AVE, WAGNER, SD 57380(605) 384-3621(605) 384-3293 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wagner Indian Health Service Health Center NPPES

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

WAGNER INDIAN HEALTH SERVICE HEALTH CENTER (NPI 1326066796) is a healthcare organization registered as a clinic/center in Wagner, South Dakota and active in the NPI registry since July 2006. The organization lists Michael Horned Eagle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326066796
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWAGNER INDIAN HEALTH SERVICE HEALTH CENTER
Location Address111 WASHINGTON AVEWagner, SD 57380
Mailing Address111 Washington AveWagner, SD 57380 · (605) 384-3621 · Fax (605) 384-3293
Fax(605) 384-3293
Organization SubpartNo
Authorized OfficialMichael Horned EagleCeo · (605) 384-3621
Enumeration DateJuly 17, 2006
Last NPPES UpdateNovember 20, 2009
✔ NPI 1326066796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
111 WASHINGTON AVE, Wagner, SD 57380

Other Identifiers 3

Medicare ID-Type UnspecifiedHSZ059SD · Medicare Provider Number
Medicaid5540280SD
Medicaid5540030SD

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wagner Indian Health Service Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Wagner Indian Health Service Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner6
Clinical Social Worker4
General Practice2
Cardiovascular Disease (Cardiology)1
Dentist1
Diagnostic Radiology1
Internal Medicine1
Mental Health Counselor1
4 other specialties4

Nearest to this location (20)

See all 21
Mental Health Counselor
NPI 1215682133
111 WASHINGTON AVE NW
Wagner, SD 57380
(605) 384-4861
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649686080
111 WASHINGTON AVE NW
Wagner, SD 57380
(605) 491-0644
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1679653208
111 WASHINGTON AVE WAGNER INDIAN HEALTH SERVICES
Wagner, SD 57380
(605) 384-3621
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1750001970
111 WASHINGTON AVE NW
Wagner, SD 57380
(605) 384-3621
✔ PECOS✔ Accepts Medicare0.2 mi
Dentist
NPI 1821656349
111 WASHINGTON AVE NW
Wagner, SD 57380
(605) 384-4845
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1629461520
401 W GLYNN DR
Parkston, SD 57366
(605) 928-3311
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1962129189
601 E 7TH ST
Platte, SD 57369
(605) 337-1501
✔ PECOS✔ Accepts Medicare34 mi
Obstetrics/Gynecology
NPI 1316432271
1104 W 8TH ST
Yankton, SD 57078
(605) 665-7841
✔ PECOS✔ Accepts Medicare47 mi
Nurse Practitioner
NPI 1457718967
1305 W 18TH ST
Sioux Falls, SD 57105
(605) 333-1000
✔ PECOS✔ Accepts Medicare84 mi
Registered Dietitian or Nutrition Professional
NPI 1982904660
1551 INDIAN HILLS DR STE 206
Sioux City, IA 51104
(712) 258-4700
104 mi
Clinical Social Worker
NPI 1750523395
115 4TH AVE SE STE 309
Aberdeen, SD 57401
(703) 346-8361
✔ PECOS✔ Accepts Medicare164 mi
Podiatry
NPI 1629207261
1150 N 83RD ST
Lincoln, NE 68505
(402) 483-4485
✔ PECOS✔ Accepts Medicare178 mi
Nurse Practitioner
NPI 1992217988
825 CENTENNIAL DR
Chadron, NE 69337
(308) 432-5586
✔ PECOS✔ Accepts Medicare240 mi
Diagnostic Radiology
NPI 1114085693
3600 MINNESOTA DR STE 800
Edina, MN 55435
(952) 595-1100
✔ PECOS✔ Accepts Medicare276 mi
Internal Medicine
NPI 1891744140
1001 E SUPERIOR ST STE L401
Duluth, MN 55802
(218) 249-7960
✔ PECOS398 mi
Clinical Social Worker
NPI 1649305087
325 E H ST
Iron Mountain, MI 49801
(906) 774-3300
✔ PECOS✔ Accepts Medicare540 mi
Cardiovascular Disease (Cardiology)
NPI 1063438810
1 HEALTHY WAY DIVISION OF CARDIOLOGY
Oceanside, NY 11572
(516) 632-3673
✔ PECOS✔ Accepts Medicare1,279 mi
General Practice
NPI 1558887612
225 N 1ST ST
Leesburg, FL 34748
(407) 905-8827
✔ PECOS✔ Accepts Medicare1,342 mi
Clinical Social Worker
NPI 1932516705
150 HUNTINGTON AVE
Boston, MA 02115
(857) 364-6867
✔ PECOS✔ Accepts Medicare1,380 mi
General Practice
NPI 1023342409
1 CALLE 11 APT 1609 PANORAMA PLAZA
San Juan, PR 00926
(787) 942-8191
✔ PECOS✔ Accepts Medicare2,536 mi
See all 21 clinicians

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

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 Wagner Indian Health Service Health Center's NPI number?

The NPI number for Wagner Indian Health Service Health Center is 1326066796. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Wagner Indian Health Service Health Center located?

Wagner Indian Health Service Health Center is located at 111 Washington Ave, Wagner, SD 57380. The listed phone number is (605) 384-3621.

What is Wagner Indian Health Service Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Wagner Indian Health Service Health Center enrolled in Medicare?

Yes. Wagner Indian Health Service Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wagner Indian Health Service Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 12 Medicare specialties reassign their Medicare billing to Wagner Indian Health Service Health Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Clinical Social Worker (4) and General Practice (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wagner Indian Health Service Health Center was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.