MRS. KRISTINE LEE WAGNER (PA-C) – Physician Assistant, NPI 1871656462
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,161 PHYSICIAN ASSISTANT in CO
Provider Addresses for MRS. KRISTINE LEE WAGNER (PA-C)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 809095533
Phone: (719) 364-3278
Fax: (719) 365-7668
Type: Location
8251 W Broward Blvd
Ste 300
Plantation, FL 333242703
Phone: (954) 475-9535
Type: Location
1400 E Boulder St Ste 700
Colorado Springs, CO 809095533
Phone: (719) 364-3278
Fax: (719) 365-7668
Type: Location
217 Hillcrest St
Orlando, FL 328011211
Phone: (407) 425-1566
Fax: (407) 422-0166
Type: Location
311 9TH ST N STE 101
NAPLES, FL 341025886
Phone: (954) 298-6142
Type: Location
8251, West Broward Boulevard, Plantation, Broward County, Florida, 33317, United States
STE 300
PLANTATION, FL 333242703
Phone: (954) 475-9535
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $146.
Total Amount is formed as General ($146) + Research ($0) + Ownership ($0) = $146.
Last reported payment date: 2023-07-18 • Largest payer in this snapshot: ATRICURE, INC. ($146).
Total Amount
$146
General + Research + Ownership
Payments
1
Total payment records
General Amount
$146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $146 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110512000232 | I | Physician Assistant | FL | TBD |
| I20240610000600 | I | Physician Assistant | CO | TBD |
| I20251016003870 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 80909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| - | CO | |
| - | CO | |
| - | MO | |
| O T O L A R Y N G O L O G Y | CO | |
| Physician Assistant | CO | |
| - | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Nurse Practitioner | CO |
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