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KAITLYN WAGNER MD
NPI 1629866165
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 25, 2025PECOS Enrolled
999 N 92ND ST STE 730, MILWAUKEE, WI 53226(414) 266-6800 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlyn Wagner Md NPPES

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

KAITLYN WAGNER MD (NPI 1629866165) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629866165
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLYN WAGNERCredential: MD
Location Address999 N 92ND ST STE 730Milwaukee, WI 53226-4875
Mailing Address999 N 92nd St Ste 730Milwaukee, WI 53226-4875 · (414) 266-6800
Phone(414) 266-6800
Sole ProprietorNo
Enumeration DateApril 25, 2025
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
✔ NPI 1629866165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
999 N 92ND ST STE 730, Milwaukee, WI 53226
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Other Names 1

Former Name (1)Kaitlyn Seibold

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Wagner Md 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.

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.

MARY CLAIRE POTTER
Pediatrics
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
MIKAL SHANKEY
Student in an Organized Health Care Education/Training Program
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
RADHE NAYAN PARIKH
Student in an Organized Health Care Education/Training Program
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
LAUREN BOTTOMLY VON ZABERN
Student in an Organized Health Care Education/Training Program
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
JULIA KRANTZ
Student in an Organized Health Care Education/Training Program
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
MOLLY JUNE PERRY MD
Student in an Organized Health Care Education/Training Program
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
JERIES HANI SAID MD
Student in an Organized Health Care Education/Training Program
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4578
JESSE WHITE MD
Student in an Organized Health Care Education/Training Program
999 N 92ND ST STE 730
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800

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 Kaitlyn Wagner's NPI number?

The NPI number for Kaitlyn Wagner is 1629866165. It was assigned to this individual provider in the NPPES registry on April 25, 2025. The provider is also known as Kaitlyn Seibold.

Where is Kaitlyn Wagner located?

Kaitlyn Wagner practices at 999 N 92nd St Ste 730, Milwaukee, WI 53226. The listed phone number is (414) 266-6800.

What is Kaitlyn Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kaitlyn Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kaitlyn Wagner was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.