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RILEY JAMES WAGNER
NPI 1730948811
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 19, 2024PECOS Enrolled
3014 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89102(702) 671-5127 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riley James Wagner NPPES

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

RILEY JAMES WAGNER (NPI 1730948811) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730948811
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRILEY JAMES WAGNER
Location Address3014 W CHARLESTON BLVD STE 130Las Vegas, NV 89102-0083
Mailing Address3014 W Charleston Blvd Ste 130Las Vegas, NV 89102-0083 · (702) 671-5127
Phone(702) 671-5127
Sole ProprietorNo
Enumeration DateMarch 19, 2024
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1730948811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License LL4229 (NV)
3014 W CHARLESTON BLVD STE 130, Las Vegas, NV 89102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riley James Wagner 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.

JOSHUA JAMES EREDICS DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
DR. SILVA TOPCHYAN DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
EDEN SANTIAGO LEE M.D.
Psychiatry & Neurology (Psychiatry)
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-6475
NATHAN KITCHEN DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
JULIA KIM DO
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
ANDREW HAN MD
Psychiatry & Neurology (Psychiatry)
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
SHELBY THOMAS MD
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127
BYONGHUN KIM
Student in an Organized Health Care Education/Training Program
3014 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89102
Clark County (702) 671-5127

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 Riley Wagner's NPI number?

The NPI number for Riley Wagner is 1730948811. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Riley Wagner located?

Riley Wagner practices at 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102. The listed phone number is (702) 671-5127.

What is Riley 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 Riley Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Riley Wagner was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.