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KAYLA WAGNER CPNP-PC
NPI 1770027849
Nurse Practitioner - Pediatrics in New York, NY

Active since December 08, 2016PECOS Enrolled
4600 BROADWAY, NEW YORK, NY 10040(212) 949-4957 Get Directions Write a Review

NPPES record last updated: December 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kayla Wagner Cpnp-pc NPPES

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

KAYLA WAGNER CPNP-PC (NPI 1770027849) is an individual pediatrics provider in New York, New York, licensed in New York (382700) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770027849
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKAYLA WAGNERCredential: CPNP-PC
Location Address4600 BROADWAYNew York, NY 10040-2102
Mailing Address4 W 125th St, 2nd FloorNew York, NY 10027-4567
Phone(212) 949-4957
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 8, 2016
Last NPPES UpdateDecember 11, 2016
✔ NPI 1770027849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 382700
4600 BROADWAY, New York, NY 10040
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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)

Kayla Wagner Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547676850
PECOS Enrollment IDI20250625001625
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 10040 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 10

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

CARLA ALVAREZ
Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
New York County (212) 369-3134
MS. JANE ELIZABETH KELLEY M.S., SLP
Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
New York County (212) 304-0853
MISS APRIL AGOSTO LMSW
Social Worker
4600 BROADWAY
NEW YORK, NY 10040
New York County (212) 569-2880
ROCHELLE LEVETTE HARRISON DMD
Dentist
4600 BROADWAY, IS 218 DENTAL CLINIC CHILDRENS AID SOCIETY
NEW YORK, NY 10040
New York County (212) 567-3500
KIMBERLY ROJAS
Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
New York County (212) 304-0853
MS. YELENA GORELIK M.S., CCC-SLP
Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
New York County (212) 304-0853
TATIAANA LAINE
Speech-Language Pathologist
4600 BROADWAY, CCAA
NEW YORK, NY 10040
New York County (212) 567-3164
CLAIRE PATRICIA MULDER LMSW
Social Worker (Clinical)
4600 BROADWAY
NEW YORK, NY 10040
New York County (212) 569-2859

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 Kayla Wagner's NPI number?

The NPI number for Kayla Wagner is 1770027849. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Kayla Wagner located?

Kayla Wagner practices at 4600 Broadway, New York, NY 10040. The listed phone number is (212) 949-4957.

What is Kayla Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kayla Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kayla Wagner was last updated on December 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.