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: October 18, 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.

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
Sole ProprietorNo
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Wagner Cpnp-pc 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kayla Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
910 EAST 172ND STREET, BRONX FAMILY CENTER
Bronx, NY 10460
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 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.

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.

Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
Social Worker
4600 BROADWAY
NEW YORK, NY 10040
Dentist
4600 BROADWAY, IS 218 DENTAL CLINIC CHILDRENS AID SOCIETY
NEW YORK, NY 10040
Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
Speech-Language Pathologist
4600 BROADWAY
NEW YORK, NY 10040
Speech-Language Pathologist
4600 BROADWAY, CCAA
NEW YORK, NY 10040
Social Worker (Clinical)
4600 BROADWAY
NEW YORK, NY 10040

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.

Which organizations bill Medicare for Kayla Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Wagner reassigns Medicare benefits to 3 organizations: The Children's Aid Society (Bronx, NY), Children's Hospital (Washington, DC) and New York University (Boynton Beach, FL). Each 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 Kayla 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 Kayla Wagner was last updated on December 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.