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MRS. STEPHANIE MARIE WAGNER MS RDN LDN
NPI 1912763749
Dietitian, Registered - Nutrition, Obesity and Weight Management in Overland Park, KS

Active since February 28, 2024
7318 W 54TH ST, OVERLAND PARK, KS 66202(405) 623-3399 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Stephanie Marie Wagner Ms Rdn Ldn NPPES

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

MRS. STEPHANIE MARIE WAGNER MS RDN LDN (NPI 1912763749) is an individual nutrition, obesity and weight management provider in Overland Park, Kansas, licensed in Kansas (1857) and active in the NPI registry since February 2024. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1912763749
Entity TypeIndividualFemale
Primary Taxonomy133VN1201X
Provider Legal NameMRS. STEPHANIE MARIE WAGNERCredential: MS RDN LDN
Location Address7318 W 54TH STOverland Park, KS 66202-1203
Mailing Address7318 W 54th StOverland Park, KS 66202-1203
Phone(405) 623-3399
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
✔ NPI 1912763749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
License✔ Licensed in KS · 1857
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
7318 W 54TH ST, Overland Park, KS 66202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stephanie Marie Wagner Ms Rdn Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113417643
PECOS Enrollment IDI20260430003382

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psy-Med, Inc.
440 mi
Health
8140 WALNUT HILL LANE, SUITE 308
Dallas, TX 75231
  • Reassigned Medicare billing, Michigan and Texas enrollments
  • 2 clinicians in this Medicare group
NPI 1881842102 (214) 348-5557

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephanie Wagner's NPI number?

The NPI number for Stephanie Wagner is 1912763749. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Stephanie Wagner located?

Stephanie Wagner practices at 7318 W 54th St, Overland Park, KS 66202. The listed phone number is (405) 623-3399.

What is Stephanie Wagner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Stephanie Wagner enrolled in Medicare?

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

Which organization bills Medicare for Stephanie Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Wagner reassigns Medicare benefits to Psy-Med, Inc. (Dallas, TX). 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 Stephanie Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Stephanie Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Wagner was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.