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KATHY WAGLE APRN, CNS
NPI 1912983727
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in St Louis Park, MN

Active since December 22, 2005PECOS Enrolled
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3307 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathy Wagle Aprn, Cns NPPES

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

KATHY WAGLE APRN, CNS (NPI 1912983727) is an individual psychiatric/mental health, child & adolescent provider in St Louis Park, Minnesota, licensed in Minnesota (CNS 0187) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912983727
Entity TypeIndividualFemale
Primary Taxonomy364SP0807X
Provider Legal NameKATHY WAGLECredential: APRN, CNS
Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527
Mailing Address8170 33rd Ave S, Po Box 1309 Mail Stop 21110qMinneapolis, MN 55425-4516
Phone(952) 993-3307
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateMarch 11, 2016
✔ NPI 1912983727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0807X
License✔ Licensed in MN · CNS 0187
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License R0782195 (MN)
3800 PARK NICOLLET BLVD, St Louis Park, MN 55416
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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)

Kathy Wagle Aprn, Cns 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

PETER MCCORMICK SCHAUB PSYD, LP
Psychologist
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3123
DAVID J NUTZ MD
Physical Medicine & Rehabilitation
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3800
GLENN MATFIN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416
Hennepin County (952) 993-3048
KELLY C GRECO PAC
Physician Assistant
3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3260
KARLA SUSAN ROSENMAN MD
Dermatology
3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3821
DR. KRISTIN A KUNZMAN PSY.D.
Psychologist (Clinical)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3393
DR. ALISON M LANG M.D.
Dermatology
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3789
DR. CHUNG M LEE M.D.
Radiology (Diagnostic Radiology)
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-3212

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 Kathy Wagle's NPI number?

The NPI number for Kathy Wagle is 1912983727. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Kathy Wagle located?

Kathy Wagle practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3307.

What is Kathy Wagle's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.

Is Kathy Wagle enrolled in Medicare?

Yes. Kathy Wagle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathy Wagle was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.