KELSEY HUXTABLE WAGNER FNP
NPI 1548782808
Nurse Practitioner in Rochester, NY
About Kelsey Huxtable Wagner Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY HUXTABLE WAGNER FNP (NPI 1548782808) is an individual nurse practitioner in Rochester, New York, licensed in New York (F341987-1) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Cayuga Medical Center At Ithaca, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Huxtable Wagner Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Kelsey Wagner reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 197 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 124 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 37 clinicians in this Medicare group
Montour Falls, NY 14865
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1760582142 (New York)
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cayuga Medical Center At Ithaca
Acute Care Hospitals · Ithaca, NYSchuyler Hospital
Critical Access Hospitals · Montour Falls, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Kelsey Wagner's NPI number?
The NPI number for Kelsey Wagner is 1548782808. It was assigned to this individual provider in the NPPES registry on July 8, 2017.
Where is Kelsey Wagner located?
Kelsey Wagner practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2100.
What is Kelsey Wagner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kelsey Wagner enrolled in Medicare?
Yes. Kelsey Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelsey Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Wagner reassigns Medicare benefits to 6 organizations: Emergency Associates - University Of Rochester (Rochester, NY), Observation Associates Of The University Of Rochester (Rochester, NY), University Of Rochester (Rochester, NY), Internal Medicine Group (Rochester, NY), Trauma Burn Emergency Surgery Of The University Of Rochester (Rochester, NY) and 1 more organization, listed in the Medicare section above. Each 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 Kelsey Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsey Wagner affiliated with any hospitals?
According to CMS data, Kelsey Wagner is affiliated with Cayuga Medical Center At Ithaca and Schuyler Hospital.
When was this NPI record last updated?
The NPPES record for Kelsey Wagner was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kelsey Huxtable Wagner, FNP · NPI 1548782808
Nurse Practitioner physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since July 8, 2017.
## Identity
- **NPI:** 1548782808 (Entity type: Individual)
- **Enumerated:** July 8, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** F341987-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 275-2100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Emergency Associates - University Of Rochester (NPI 1346281268, Rochester, NY); Observation Associates Of The University Of Rochester (NPI 1518908433, Rochester, NY); University Of Rochester (NPI 1821152588, Rochester, NY); Internal Medicine Group (NPI 1649220393, Rochester, NY); Trauma Burn Emergency Surgery Of The University Of Rochester (NPI 1881886380, Rochester, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548782808) · Data from the CMS NPPES public registry.