SYDNEY R WAGNER (SLP) – Speech-Language Pathologist, NPI 1720647456

SYDNEY R WAGNER (SLP) is a healthcare provider. based in Kearney, Nebraska. specializing in Speech-Language Pathologist. They hold the professional credentials SLP. They hold a License No. 2294 (NE). The NPI Number for SYDNEY R WAGNER (SLP) is 1720647456

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY R WAGNER (SLP)
NPI
1720647456
Phone
(308) 233-5060
Address
920 E 56TH ST BLDG A
Enumeration Date
6 June 2019
Last Update Date
6 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3082335060
Graduation Year
2018 (8 years ago)
PAC ID
2769717222
Group Practice PAC ID
0941268114
Professional Enrollment ID
I20190706000039
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for SYDNEY R WAGNER (SLP)

  • 920 E 56TH ST BLDG A

    KEARNEY, NE 688478628

    Phone: (308) 233-5060

    Fax: (308) 233-5062

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68847)

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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: 0941268114View full group profile

Reviews

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Frequently asked questions

How do payers reference SYDNEY R WAGNER (SLP)?
For SYDNEY R WAGNER (SLP), use NPI 1720647456 as the unique 10-digit identifier.
Is there an active status for SYDNEY R WAGNER (SLP)?
For scheduling context, SYDNEY R WAGNER (SLP) is shown as active in the registry.
What clinical focus is listed for SYDNEY R WAGNER (SLP)?
At a glance, SYDNEY R WAGNER (SLP) is tied to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Is SYDNEY R WAGNER (SLP) located near Kearney?
SYDNEY R WAGNER (SLP) currently maps to Kearney, Nebraska in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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