SAMANTHA WAGNER RDN
NPI 1942912019
Dietitian, Registered in Colorado Springs, CO

Active since December 20, 2022Accepts Medicare Assignment
2960 N CIRCLE DR STE 200, COLORADO SPRINGS, CO 80909(719) 634-8891 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Wagner Rdn NPPES

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

SAMANTHA WAGNER RDN (NPI 1942912019) is an individual dietitian, registered in Colorado Springs, Colorado, licensed in Colorado (86289910) and active in the NPI registry since December 2022. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1942912019
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSAMANTHA WAGNERCredential: RDN
Location Address2960 N CIRCLE DR STE 200Colorado Springs, CO 80909-1163
Mailing Address2960 N Circle Dr Ste 200Colorado Springs, CO 80909-1163 · (719) 634-8891
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 20, 2022
NPPES CertifiedDecember 20, 2022
✔ NPI 1942912019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CO · 86289910
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2960 N CIRCLE DR STE 200, Colorado Springs, CO 80909

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Wagner Rdn 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 ID2769958693
PECOS Enrollment IDI20260417003274

Medicare Billing Reassignment

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

Family Medicine
925 S NIAGARA ST STE 140
Denver, CO 80224
  • Reassigned Medicare billing, Colorado enrollment
  • 3 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$0.00 typical visit price
range $58.06 – $174.82
Typical copayment $0.00 (range $14.51 – $43.70)
Most-billed visit code NA
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Clinic/Center (Urgent Care)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
Family Medicine
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
Physician Assistant
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
Physician Assistant
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
Dietitian, Registered
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
Counselor (Professional)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Family)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
Clinic/Center (Multi-Specialty)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909

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 Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1942912019. It was assigned to this individual provider in the NPPES registry on December 20, 2022.

Where is Samantha Wagner located?

Samantha Wagner practices at 2960 N Circle Dr Ste 200, Colorado Springs, CO 80909. The listed phone number is (719) 634-8891.

What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Samantha Wagner enrolled in Medicare?

Yes. Samantha 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.

Which organization bills Medicare for Samantha Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wagner reassigns Medicare benefits to Weigh To Wellness Denver (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 Samantha 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 Samantha Wagner was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.