CATHERINE Y.H. WAGONER (MD) – Pediatrics Physician, NPI 1487627550
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CATHERINE Y.H. WAGONER (MD)
10581 Double R Blvd
Reno, NV 89511
Phone: (775) 324-0766
Fax: (775) 324-0788
Type: Location
9290 SE SUNNYBROOK BLVD STE 120
CLACKAMAS, OR 970156802
Phone: (503) 215-2110
Type: Location
Reno, Ostsee-Park-Straße, Ostseepark Sievershagen, Sievershagen, Lambrechtshagen, Warnow-West, Landkreis Rostock, Mecklenburg-Vorpommern, 18069, Germany
RENO, NV 895110069
Phone: (775) 324-0766
Fax: (775) 324-0788
Type: Mailing
10581, Double R Boulevard, Reno, Washoe County, Nevada, 89521, United States
RENO, NV 89511
Phone: (775) 324-0766
Fax: (775) 324-0788
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone:
Type: Mailing
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: 2019-06-03
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 |
|---|---|---|---|---|
| I20190603002210 | I | Pediatric Medicine | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89511)
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