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

Active since December 20, 2022
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: August 02, 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
Phone(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
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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)

Samantha Wagner Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769958693
PECOS Enrollment IDI20260417003274

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.

URGENT CAREX LLC
Clinic/Center (Urgent Care)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 387-7900
MEDNOW CLINICS CO SPRINGS CO, INC
Family Medicine
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 634-8891
MS. ALISHA KRISTEN NICOLE WALKER PA-C
Physician Assistant
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 634-8891
NATALIE MARIE MOLNAR PA
Physician Assistant
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 634-8891
SHELBY LYNN REMOLINO RDN
Dietitian, Registered
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 634-8891
LINDA K CAMPBELL
Counselor (Professional)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 634-8891
JANE ABIGAIL TRUJILLO NP
Nurse Practitioner (Family)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 634-8891
CAREX LLC
Clinic/Center (Multi-Specialty)
2960 N CIRCLE DR STE 200
COLORADO SPRINGS, CO 80909
El Paso County (719) 634-8891

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 enrollment system.

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.