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MR. PAUL W. BAGWELL JR. PSYD
NPI 1477608453
Psychologist - Clinical in Las Vegas, NM

Active since January 23, 2007PECOS Enrolled
3695 HOT SPRINGS BLVD, LAS VEGAS, NM 87701(505) 454-2100(505) 454-2130 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Paul W. Bagwell Jr. Psyd NPPES

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

MR. PAUL W. BAGWELL JR. PSYD (NPI 1477608453) is an individual clinical provider in Las Vegas, New Mexico, licensed in New Mexico (0854) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477608453
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. PAUL W. BAGWELL JR.Credential: PSYD
Location Address3695 HOT SPRINGS BLVDLas Vegas, NM 87701-9549
Mailing Address3695 Hot Springs BlvdLas Vegas, NM 87701-9549 · (505) 454-2100 · Fax (505) 454-2130
Phone(505) 454-2100
Fax(505) 454-2130
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 22, 2010
✔ NPI 1477608453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NM · 0854
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3695 HOT SPRINGS BLVD, Las Vegas, NM 87701
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul W. Bagwell Jr. Psyd 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 Paul Bagwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State Of New Mexico
Same address
Nursing Facility/Intermediate Care Facility
3695 HOT SPRINGS BLVD
Las Vegas, NM 87701
  • Reassigned Medicare billing, New Mexico enrollment
  • 31 clinicians in this Medicare group
NPI 1992867998 (505) 454-2100

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 87701 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

SHAELYN MARGARET MULDOON
Social Worker (Clinical)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
CHERYL A BURLETT M.S. PHARM
Pharmacist (Pharmacotherapy)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2183
WENDY PRICE PSY.D.
Psychologist (Clinical)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
STATE OF NEW MEXICO
Psychiatry & Neurology (Psychiatry)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
DR. TERESA ANN O'BRIEN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
LONNIE C LUCERO
Case Manager/Care Coordinator
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
AMANDA GONZALES
Social Worker
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100
DERRICK A ORTEGA
Social Worker
3695 HOT SPRINGS BLVD
LAS VEGAS, NM 87701
San Miguel County (505) 454-2100

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 Paul Bagwell's NPI number?

The NPI number for Paul Bagwell is 1477608453. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Paul Bagwell located?

Paul Bagwell practices at 3695 Hot Springs Blvd, Las Vegas, NM 87701. The listed phone number is (505) 454-2100.

What is Paul Bagwell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Paul Bagwell enrolled in Medicare?

Yes. Paul Bagwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Bagwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bagwell reassigns Medicare benefits to State Of New Mexico (Las Vegas, NM). 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 Paul Bagwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Bagwell was last updated on July 22, 2010. 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.