Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TYLER WAGNER PMHNP-BC
NPI 1588577498
Nurse Practitioner - Psychiatric/Mental Health in Fargo, ND

Q: What is Tyler Wagner's NPI number?

The NPI number for Tyler Wagner is 1588577498. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Q: What is Tyler Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Wagner was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 September 23, 2026

1330 PAGE DR S STE 102B, FARGO, ND 58103(701) 414-4596 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Tyler Wagner Pmhnp-bc NPPES

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

TYLER WAGNER PMHNP-BC (NPI 1588577498) is an individual psychiatric/mental health provider in Fargo, North Dakota, licensed in North Dakota (206041) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1588577498

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTYLER WAGNERCredential: PMHNP-BC

Location Address1330 PAGE DR S STE 102BFargo, ND 58103-3562

Mailing Address1330 Page Dr S Ste 102bFargo, ND 58103-3562

Phone(701) 414-4596

Sole ProprietorYes

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1588577498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ND · 206041

1330 PAGE DR S STE 102B, Fargo, ND 58103

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

RICHER HEALTH PLLC

Nurse Practitioner (Psychiatric/Mental Health)

1330 PAGE DR S STE 102B
FARGO, ND 58103

Cass County (701) 368-8229

ASHLEY E JOB PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

1330 PAGE DR S STE 102B
FARGO, ND 58103

Cass County (701) 368-8229

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 Tyler Wagner's NPI number?

The NPI number for Tyler Wagner is 1588577498. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Tyler Wagner located?

Tyler Wagner practices at 1330 Page Dr S Ste 102B, Fargo, ND 58103. The listed phone number is (701) 414-4596.

What is Tyler Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Tyler Wagner was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.