KENT R WAGNER (PA) – Physician Assistant, NPI 1629062302

KENT R WAGNER (PA) is a healthcare provider. based in Garden city, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1500742 (KS). The NPI Number for KENT R WAGNER (PA) is 1629062302

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KENT R WAGNER (PA)
NPI
1629062302
Phone
(620) 275-3700
Address
311 E SPRUCE ST
Enumeration Date
8 September 2005
Last Update Date
25 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6208854202
Graduation Year
2000 (26 years ago)
PAC ID
7416996129
Group Practice PAC ID
1355252545
Professional Enrollment ID
I20050502000475
Address ID
KS678658511MI222XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Loading map...

Provider Addresses for KENT R WAGNER (PA)

  • 311, East Spruce Street, Garden City, Finney County, Kansas, 67846, United States

    GARDEN CITY, KS 678465679

    Phone: (620) 275-3700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $274.

Total Amount is formed as General ($274) + Research ($0) + Ownership ($0) = $274.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Novo Nordisk Inc ($92).

Total Amount

$274

General + Research + Ownership

Payments

11

Total payment records

General Amount

$274

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

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: 2005-05-02

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
I20050502000475IPhysician AssistantKSTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
99238Hospital discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 67846)

Loading plans...

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: 1355252545View full group profile
NameSpecialtyState
Diagnostic RadiologyMT
Family PracticeOK
Physician AssistantKS
Certified Registered Nurse Anesthetist (Crna)OK
Diagnostic RadiologyTX
Nurse PractitionerCO
Certified Registered Nurse Anesthetist (Crna)KS
Nurse PractitionerKS
General SurgeryMT
Family PracticeCO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check KENT R WAGNER (PA) using NPI 1629062302?
NPI 1629062302 belongs to KENT R WAGNER (PA); compare other details if you need extra assurance.
Active or inactive — what applies to KENT R WAGNER (PA)?
You should see KENT R WAGNER (PA) as active in CMS-hosted NPPES data.
What expertise is attributed to KENT R WAGNER (PA)?
KENT R WAGNER (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KENT R WAGNER (PA) located near Garden City?
KENT R WAGNER (PA) currently maps to Garden City, Kansas in this extract.
Does KENT R WAGNER (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

2101 N AMERICA RD
NPI: 1235215633

GRETCHEN DOWDY (PA)

Physician Assistant
300 E HOSPITAL RD
NPI: 1679697767

J. LYNETTE ALEXANDER (P.A.)

Physician Assistant
1902 FEATHER CT
NPI: 1841411402
500 E THORPE ST
NPI: 1740467802
1116 S RIVER VIEW DR
NPI: 1902227101

JEANETTE O'NEAL (PA-C)

Physician Assistant
615 S NEW BALLAS RD
NPI: 1396105698

MICAH WIESNER (PA)

Physician Assistant
712 SAINT JOHN ST
NPI: 1326493073

KAMERON WATSON (PA)

Physician Assistant
311 E SPRUCE ST
NPI: 1134576721

CHARITY WRIGHT

Physician Assistant
2600 NAVARRE AVE
NPI: 1831644277