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KATHLEEN THERESE WAGNER MD
NPI 1952342933
Family Medicine in Las Vegas, NV

Active since June 09, 2006PECOS Enrolled
4920 W LONE MOUNTAIN RD, LAS VEGAS, NV 89130(702) 655-0550(702) 655-0545 Get Directions Write a Review

NPPES record last updated: August 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Therese Wagner Md NPPES

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

KATHLEEN THERESE WAGNER MD (NPI 1952342933) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (9669) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952342933
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN THERESE WAGNERCredential: MD
Location Address4920 W LONE MOUNTAIN RDLas Vegas, NV 89130
Mailing AddressPo Box 98978Las Vegas, NV 89193-8978 · (702) 216-3346 · Fax (702) 671-6883
Phone(702) 655-0550
Fax(702) 655-0545
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 20, 2018
✔ NPI 1952342933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 9669
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4920 W LONE MOUNTAIN RD, Las Vegas, NV 89130
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Other Identifiers 3

Medicaid002018691NV
Medicaid1952342933NV
Other9669NV · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Therese Wagner Md 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 89130 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$29.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD.
Internal Medicine
4920 W LONE MOUNTAIN RD
LAS VEGAS, NV 89130
Clark County (702) 655-0550

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 Kathleen Wagner's NPI number?

The NPI number for Kathleen Wagner is 1952342933. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Kathleen Wagner located?

Kathleen Wagner practices at 4920 W Lone Mountain Rd, Las Vegas, NV 89130. The listed phone number is (702) 655-0550.

What is Kathleen Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathleen Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Wagner was last updated on August 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.