JOHN M. WAGNER M.S.
NPI 1861802498
Marriage & Family Therapist in Boulder, CO
About John M. Wagner M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN M. WAGNER M.S. (NPI 1861802498) is an individual marriage & family therapist in Boulder, Colorado, licensed in Colorado (MFT.0001333) and active in the NPI registry since May 2014. He 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)
John M. Wagner M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 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.
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 John Wagner's NPI number?
The NPI number for John Wagner is 1861802498. It was assigned to this individual provider in the NPPES registry on May 5, 2014.
Where is John Wagner located?
John Wagner practices at 580 Mohawk Dr, Boulder, CO 80303. The listed phone number is (303) 338-4545.
What is John Wagner's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is John Wagner enrolled in Medicare?
Yes. John Wagner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Wagner reassigns Medicare benefits to Colorado Permanente Medical Group, P.C. (Denver, CO). 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 John 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 John Wagner was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John M. Wagner, M.S. · NPI 1861802498
Marriage & Family Therapist provider in Boulder, Colorado. Individual provider, active in the CMS NPPES registry since May 5, 2014.
## Identity
- **NPI:** 1861802498 (Entity type: Individual)
- **Enumerated:** May 5, 2014
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** MFT.0001333 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 580 MOHAWK DR, Boulder, CO 80303-3712
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861802498) · Data from the CMS NPPES public registry.