KRISTINA MARIE WAGNER MD
NPI 1659993202
Pediatrics - Pediatric Hematology-Oncology in Philadelphia, PA
About Kristina Marie Wagner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA MARIE WAGNER MD (NPI 1659993202) is an individual pediatric hematology-oncology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT220117) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristina Marie Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Kristina Wagner's NPI number?
The NPI number for Kristina Wagner is 1659993202. It was assigned to this individual provider in the NPPES registry on May 16, 2020.
Where is Kristina Wagner located?
Kristina Wagner practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-1220.
What is Kristina Wagner's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Kristina Wagner enrolled in Medicare?
Yes. Kristina Wagner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristina Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Wagner reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). The 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 Kristina Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristina Wagner was last updated on June 19, 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.
# Kristina Marie Wagner, MD · NPI 1659993202
Pediatric Hematology-Oncology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 16, 2020.
## Identity
- **NPI:** 1659993202 (Entity type: Individual)
- **Enumerated:** May 16, 2020
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** MT220117 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (215) 590-1220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1659993202) · Data from the CMS NPPES public registry.