KELSEY LEIGH WAGNER (PA) – Physician Assistant, NPI 1538647631

KELSEY LEIGH WAGNER (PA) is a healthcare provider. based in Cheyenne, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PT774 (WY). The NPI Number for KELSEY LEIGH WAGNER (PA) is 1538647631

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY LEIGH WAGNER (PA)
NPI
1538647631
Phone
Not provided
Address
214 E 23RD ST
Enumeration Date
31 July 2018
Last Update Date
31 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
4880945542
Group Practice PAC ID
5496163461
Professional Enrollment ID
I20180919004250
Address ID
WY829410627PIPOXXXBOXX202
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

324 PHYSICIAN ASSISTANT in WY

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Provider Addresses for KELSEY LEIGH WAGNER (PA)

  • Cheyenne Regional Medical Center, 214, East 23rd Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820013748

    Phone:

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: C. R. Bard, Inc. & Subsidiaries ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

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: 2018-09-19

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
I20180919004250IPhysician AssistantWYTBD

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
99285Emergency department visit with high level of medical decision making177170$0
99284Emergency department visit with moderate level of medical decision making9390$0
80053Blood test, comprehensive group of blood chemicals3533$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3433$0
99213Established patient office or other outpatient visit, 20-29 minutes3231$0
View full utilization report →

Insurance plans in this area (ZIP 82001)

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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: 5496163461View full group profile
NameSpecialtyState
Nurse PractitionerWY
Physician AssistantWY
Family Practice, Emergency MedicineID
Physician AssistantWY
Family PracticeWY
Family Practice, Emergency MedicineWY
Internal Medicine, Family PracticeWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELSEY LEIGH WAGNER (PA)?
KELSEY LEIGH WAGNER (PA) — NPI 1538647631 — is the standard way to identify this listing.
Is KELSEY LEIGH WAGNER (PA) listed as active for patients and plans?
The listing shows KELSEY LEIGH WAGNER (PA) as active in the NPI system.
What is KELSEY LEIGH WAGNER (PA)'s primary classification?
Physician Assistant is the headline specialty for KELSEY LEIGH WAGNER (PA) here. Clinical services aligned with this taxonomy classification.
What area does KELSEY LEIGH WAGNER (PA) serve?
KELSEY LEIGH WAGNER (PA)'s listing highlights Cheyenne, Wyoming; more addresses can appear in NPPES.
Why does KELSEY LEIGH WAGNER (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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