1. Home
  2. Directory
  3. Kansas
  4. City
  5. Family Medicine
  6. NPI Profile

DR. JESSIE WAGNER DO
NPI 1619729068
Family Medicine in Kansas City, KS

Active since April 01, 2024PECOS Enrolled
3901 RAINBOW BLVD, MAILSTOP 4034, KANSAS CITY, KS 66160(913) 588-1908 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Dr. Jessie Wagner Do NPPES

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

DR. JESSIE WAGNER DO (NPI 1619729068) is an individual family medicine provider in Kansas City, Kansas, licensed in Kansas (94-11789) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619729068
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JESSIE WAGNERCredential: DO
Location Address3901 RAINBOW BLVD, MAILSTOP 4034Kansas City, KS 66160
Mailing Address3901 Rainbow Blvd, Mailstop 4034Kansas City, KS 66160
Phone(913) 588-1908
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1619729068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 94-11789
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3901 RAINBOW BLVD, MAILSTOP 4034, Kansas City, KS 66160
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessie Wagner Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 2

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

DR. KINSEY ALEXIS MOSELEY MD
Family Medicine
3901 RAINBOW BLVD, MAILSTOP 4034
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1908
NICHOLAS STEVEN DOMBROWSKI MD, ATC
Family Medicine
3901 RAINBOW BLVD, MAILSTOP 4034
KANSAS CITY, KS 66160
Wyandotte County (913) 588-1908

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 Jessie Wagner's NPI number?

The NPI number for Jessie Wagner is 1619729068. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Jessie Wagner located?

Jessie Wagner practices at 3901 Rainbow Blvd, Mailstop 4034, Kansas City, KS 66160. The listed phone number is (913) 588-1908.

What is Jessie Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jessie Wagner enrolled in Medicare?

Yes. Jessie Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessie Wagner was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.