GABRIELLE KYRA WAGNER
NPI 1366385940
Physician Assistant - Medical in Charleston, WV
About Gabrielle Kyra Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLE KYRA WAGNER (NPI 1366385940) is an individual medical provider in Charleston, West Virginia and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gabrielle Kyra Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
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 Gabrielle Wagner's NPI number?
The NPI number for Gabrielle Wagner is 1366385940. It was assigned to this individual provider in the NPPES registry on April 10, 2026.
Where is Gabrielle Wagner located?
Gabrielle Wagner practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5432.
What is Gabrielle Wagner's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Gabrielle Wagner enrolled in Medicare?
Yes. Gabrielle Wagner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gabrielle Wagner was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Gabrielle Kyra Wagner · NPI 1366385940
Medical physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since April 10, 2026.
## Identity
- **NPI:** 1366385940 (Entity type: Individual)
- **Enumerated:** April 10, 2026
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, Charleston, WV 25304-1227
- **Phone:** (304) 388-5432
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366385940) · Data from the CMS NPPES public registry.