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KATELYN WAGNER AGPCNP
NPI 1871440180
Nurse Practitioner - Adult Health in North Tonawanda, NY

Active since March 16, 2026PECOS EnrolledAccepts Medicare Assignment
6740 SHAWNEE RD, NORTH TONAWANDA, NY 14120(716) 903-7229 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Katelyn Wagner Agpcnp NPPES

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

KATELYN WAGNER AGPCNP (NPI 1871440180) is an individual adult health provider in North Tonawanda, New York, licensed in New York (312752) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1871440180
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATELYN WAGNERCredential: AGPCNP
Location Address6740 SHAWNEE RDNorth Tonawanda, NY 14120-9504
Mailing Address6740 Shawnee RdNorth Tonawanda, NY 14120-9504
Phone(716) 903-7229
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 16, 2026
NPPES CertifiedMarch 15, 2026
✔ NPI 1871440180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 312752
6740 SHAWNEE RD, North Tonawanda, NY 14120
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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 and accepts Medicare assignment

Katelyn Wagner Agpcnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547725327
PECOS Enrollment IDI20260722002131
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 14120 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Katelyn Wagner's NPI number?

The NPI number for Katelyn Wagner is 1871440180. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Katelyn Wagner located?

Katelyn Wagner practices at 6740 Shawnee Rd, North Tonawanda, NY 14120. The listed phone number is (716) 903-7229.

What is Katelyn Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Katelyn Wagner enrolled in Medicare?

Yes. Katelyn Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katelyn Wagner was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.