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DR. KRISTOPHER M.G. WAGNER-PORTER M.D.
NPI 1922259134
General Practice in Whiteman Afb, MO

Active since October 07, 2008PECOS Enrolled
331 SIJAN AVE, WHITEMAN AFB, MO 65305(666) 687-2252 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kristopher M.g. Wagner-porter M.d. NPPES

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

DR. KRISTOPHER M.G. WAGNER-PORTER M.D. (NPI 1922259134) is an individual general practice provider in Whiteman Afb, Missouri, licensed in Indiana (01065866A) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922259134
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. KRISTOPHER M.G. WAGNER-PORTERCredential: M.D.
Location Address331 SIJAN AVEWhiteman Afb, MO 65305-1269
Mailing Address331 Sijan AveWhiteman Afb, MO 65305-1269 · (666) 687-2252
Phone(666) 687-2252
Sole ProprietorNo
Enumeration DateOctober 7, 2008
✔ NPI 1922259134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 01065866A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
331 SIJAN AVE, Whiteman Afb, MO 65305
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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)

Dr. Kristopher M.g. Wagner-porter M.d. 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.

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.

MS. WHITNEY NICOLE BROOKS LCSW
Social Worker (Clinical)
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Johnson County (660) 687-7222
ARTHUR REYNOLD ROSS JR. PHD
Psychologist (Clinical)
331 SIJAN AVE
WHITEMAN AIR FORCE BASE, MO 65305
Johnson County (660) 687-4341
509TH MEDGRP-WHITEMAN
Clinic/Center (Military/U.S. Coast Guard Outpatient)
331 SIJAN AVE, 509 MDSS SGSR
WHITEMAN AFB, MO 65305
Johnson County (660) 687-1838
DR. COLIN MATTHEW HART MD
Family Medicine
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Johnson County (660) 687-4908
MARGARET STEPANIAK RPH
Pharmacist (Ambulatory Care)
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Johnson County (660) 687-2188
JENNA CLARK LEWIS PSYD
Psychologist
331 SIJAN AVE, WHITEMAN AFB
WHITEMAN AFB, MO 65305
Johnson County (606) 874-3416
MRS. MELANIE BEVERELY ROBERTS-FUSTON LCSW
Social Worker (Clinical)
331 SIJAN AVE
WHITEMAN AIR FORCE BASE, MO 65305
Johnson County (660) 687-4341
EDDIE HAO UY M.D.
Pediatrics
331 SIJAN AVE
KNOB NOSTER, MO 65305
Johnson County (660) 687-6405

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 Kristopher Wagner-porter's NPI number?

The NPI number for Kristopher Wagner-porter is 1922259134. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Kristopher Wagner-porter located?

Kristopher Wagner-porter practices at 331 Sijan Ave, Whiteman Afb, MO 65305. The listed phone number is (666) 687-2252.

What is Kristopher Wagner-porter's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kristopher Wagner-porter enrolled in Medicare?

Yes. Kristopher Wagner-porter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristopher Wagner-porter was last updated on October 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.