CASEY RAE WAGNER APRN NPI 1750659777

NPI Information

  • NPI: 1750659777
  • Provider Name: CASEY RAE WAGNER, APRN
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5325 FARAON ST.
    ST. JOSEPH, MO
    ZIP 64506
  • Phone: (816) 271-6000

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NPI Details

Casey Rae Wagner, APRN is an obstetrics and gynecology nurse practitioner in St. Joseph, MO with 15 years of experience. Casey Rae Wagner, APRN NPI is 1750659777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5325 FARAON ST.
ST. JOSEPH, MO
ZIP 64506-488
Phone: (816) 271-6000

The NPI 1750659777 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 12/5/2011 and was last updated on 10/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0001XNurse PractitionerObstetrics & Gynecology75395KANSASNo
2363LX0001XNurse PractitionerObstetrics & Gynecology2011028689MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1701000118MEDICARE PINMISSOURI
2200750820AMEDICAIDKANSAS
31750659777MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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