DISPATCHHEALTH NV WAGNER PC – Emergency Medicine Physician, NPI 1023538790
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DISPATCHHEALTH NV WAGNER PC
3841 W Charleston Blvd Ste 203
Las Vegas, NV 891021858
Phone: (702) 848-4443
Fax: (720) 598-0440
Type: Location
Ringsby Court, Globeville, Denver, Denver County, Colorado, 80216, United States
DENVER, CO 802164923
Phone: (303) 500-1518
Fax: (720) 598-0440
Type: Mailing
West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States
LAS VEGAS, NV 891021858
Phone: (702) 848-4443
Fax: (720) 598-0440
Type: Location
3825 N LAFAYETTE ST
DENVER, CO 802053316
Phone: (303) 500-1518
Fax: (720) 598-0440
Type: Mailing
376 E WARM SPRINGS RD STE 110
LAS VEGAS, NV 891194241
Phone: (702) 848-4443
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-09-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (953 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20170928003257 | O | Clinic/Group Practice | NV | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89102)
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