LUCAS M. WANGERIN (PA-C) – Physician Assistant, NPI 1487927257

LUCAS M. WANGERIN (PA-C) is a healthcare provider. based in Fort riley, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.0007051 (CO). The NPI Number for LUCAS M. WANGERIN (PA-C) is 1487927257

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
LUCAS M. WANGERIN (PA-C)
NPI
1487927257
Phone
(785) 239-7000
Address
600 Caisson Hill Rd
Enumeration Date
9 February 2012
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196324455
Graduation Year
2011 (15 years ago)
PAC ID
3779972724
Group Practice PAC ID
3072790864
Professional Enrollment ID
I20211111002585
Address ID
CO809208075CO4190XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for LUCAS M. WANGERIN (PA-C)

  • 600 Caisson Hill Rd

    Fort Riley, KS 664427037

    Phone: (785) 239-7000

    Type: Location

  • 1502 PAIGE CT

    JUNCTION CITY, KS 664412779

    Phone: (785) 226-2322

    Type: Mailing

  • 6382 SAN MATEO DR

    COLORADO SPRINGS, CO 809114015

    Phone: (785) 226-2322

    Type: Mailing

  • 1650 COCHRANE CIR # B7500

    FORT CARSON, CO 809134604

    Phone: (719) 524-7219

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $471.

Total Amount is formed as General ($471) + Research ($0) + Ownership ($0) = $471.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($87).

Total Amount

$471

General + Research + Ownership

Payments

23

Total payment records

General Amount

$471

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211111002585IPhysician AssistantCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes8223$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes6521$0
96127Assessment of emotional or behavioral problems2612$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2612$0
99214Established patient office or other outpatient visit, 30-39 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 66442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072790864View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO
-CO
Internal MedicineCO
-CO
Nurse PractitionerCO
Internal Medicine, Pediatric MedicineCO

Reviews

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Frequently asked questions

What is LUCAS M. WANGERIN (PA-C)'s NPI number?
LUCAS M. WANGERIN (PA-C)'s NPI is 1487927257 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to LUCAS M. WANGERIN (PA-C)?
You should see LUCAS M. WANGERIN (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is LUCAS M. WANGERIN (PA-C)?
LUCAS M. WANGERIN (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LUCAS M. WANGERIN (PA-C)?
Directory geography for LUCAS M. WANGERIN (PA-C) centers on Fort Riley, Kansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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