KENDALL D. WAGNER, M.D., PLLC
NPI 1528721271
Clinic/Center - Primary Care in Fort Smith, AR

Active since October 20, 2021
11300 ROBERTS BLVD, FORT SMITH, AR 72916(000) 000-0000 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendall D. Wagner, M.d., Pllc NPPES

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

KENDALL D. WAGNER, M.D., PLLC (NPI 1528721271), doing business as Chaffee Crossing Clinic, is a healthcare organization registered as a primary care in Fort Smith, Arkansas and active in the NPI registry since October 2021. The organization lists Kendall Darren Wagner, Physician, as its authorized official.

NPPES Registry Identity

NPI1528721271
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKENDALL D. WAGNER, M.D., PLLC
Location Address11300 ROBERTS BLVDFort Smith, AR 72916-6027
Mailing Address8331 Howard Hill RdFort Smith, AR 72916-9787 · (501) 766-6311
Organization SubpartNo
Authorized OfficialKendall Darren WagnerPhysician · (501) 766-6311
Enumeration DateOctober 20, 2021
NPPES CertifiedOctober 19, 2021
NPI 1528721271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
11300 ROBERTS BLVD, Fort Smith, AR 72916

Other Names 1

Doing Business AsChaffee Crossing Clinic

Other Identifiers 1

Medicaid202855001AR

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11300 ROBERTS BLVD
FORT SMITH, AR 72916
Clinic/Center (Radiology)
11300 ROBERTS BLVD
FORT SMITH, AR 72916
Internal Medicine
11300 ROBERTS BLVD
FORT SMITH, AR 72916
Family Medicine
11300 ROBERTS BLVD, CHAFFEE CROSSING CLINIC
FORT SMITH, AR 72916

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 Kendall D. Wagner, M.D., PLLC's NPI number?

The NPI number for Kendall D. Wagner, M.D., PLLC is 1528721271. It was assigned to this organization in the NPPES registry on October 20, 2021. The provider is doing business as Chaffee Crossing Clinic.

Where is Kendall D. Wagner, M.D., PLLC located?

Kendall D. Wagner, M.D., PLLC is located at 11300 Roberts Blvd, Fort Smith, AR 72916. The listed phone number is (000) 000-0000.

What is Kendall D. Wagner, M.D., PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Kendall D. Wagner, M.D., PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Kendall D. Wagner, M.D., PLLC 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 Kendall D. Wagner, M.D., PLLC was last updated on October 20, 2021. 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.