STACY L WAGNER (PA-C) – Rheumatology Physician, NPI 1992054431
Rheumatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for STACY L WAGNER (PA-C)
1921 N WEBB RD
WICHITA, KS 672063405
Phone: (316) 612-4815
Fax: (316) 612-4825
Type: Mailing
1305 E 19TH AVE
WINFIELD, KS 671565201
Phone: (620) 221-9500
Fax: (620) 221-3700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,503.
Total Amount is formed as General ($1,503) + Research ($0) + Ownership ($0) = $1,503.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($434).
Total Amount
$1,503
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,503
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $434 |
| Amgen Inc. | $201 |
| PFIZER INC. | $162 |
| Janssen Biotech, Inc. | $96 |
| UCB, Inc. | $80 |
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: 2012-10-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121012000417 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 405 | 193 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 324 | 180 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 304 | 177 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 301 | 172 | $0 |
| 86140 | Measurement c-reactive protein for detection of infection or inflammation | 271 | 161 | $0 |
Insurance plans in this area (ZIP 67206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS |
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