KENDRA LYNN WAGENER LICSW
NPI 1487505392
Social Worker - Clinical in Saint Paul, MN

Q: What is Kendra Wagener's NPI number?

The NPI number for Kendra Wagener is 1487505392. It was assigned to this individual provider in the NPPES registry on February 5, 2026.

Q: What is Kendra Wagener's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Wagener was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 05, 2026PECOS Enrolled

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-1000(651) 254-9595 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 17, 2026, Feb 5, 2026 (2 updates tracked since 2026).

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About Kendra Lynn Wagener Licsw NPPES

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

KENDRA LYNN WAGENER LICSW (NPI 1487505392) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (27978) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487505392

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKENDRA LYNN WAGENERCredential: LICSW

Location Address640 JACKSON STSaint Paul, MN 55101-2595

Mailing AddressPo Box 6059Fargo, ND 58108-6059

Phone(651) 254-1000

Fax(651) 254-9595

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 5, 2026

Last NPPES UpdateApril 17, 20262 updates tracked since enumeration

NPPES CertifiedApril 17, 2026

✔ NPI 1487505392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 27978

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

640 JACKSON ST, Saint Paul, MN 55101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Lynn Wagener Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618448671

PECOS Enrollment IDI20260610001592

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

Regions Hospital

Same address

Emergency Medicine

640 JACKSON ST
Saint Paul, MN 55101

Reassigned Medicare billing, Minnesota enrollment
393 clinicians in this Medicare group

NPI 1154359917 (651) 254-3908

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 55101 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

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine