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Kyle Wagner

Chiropractor β€’ Covington, WA

Active NPI 1104318310 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

15610 Se 272nd St Bldg A
Covington, WA 980424416

Call 2536382424 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15610 Se 272nd St Bldg A

Covington, WA 980424416

Telephone 2536382424
Organization at the Same NPPES Address or Phone
Pearson Chiropractic Pllc Facility NPI 1235337940

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Pearson Chiropractic Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kyle Wagner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Covington and Washington

9 active clinicians are listed under Chiropractor with a practice address in Covington, WA (3,009 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-25
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES WA CH60849715

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20181220000993

Enrollment State Jurisdiction

WA

PECOS Control ID

0244575181

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Pearson Chiropractic Pllc

15610 Se 272nd St, Covington, WA 980424416

Phone: 2536382424

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1700118221

Doctor of Chiropractic

Cody Holop

Chiropractor

NPI 1386266781
NPI 1770806556

Doctor of Chiropractic

NPI 1609927516

Doctor of Chiropractic

NPI 1942397351

Doctor of Chiropractic

NPI 1851976104

Doctor of Chiropractic, Master of Science

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 25, 2024

Registered at 15610 SE 272ND ST BLDG A, COVINGTON, WA 980424416 (Tel: 2536382424)

πŸ“
Updated Business Mailing Address March 25, 2024

Registered at 15610 SE 272ND ST BLDG A, COVINGTON, WA 980424416

βœ…
NPI Profile Active June 04, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 04, 2018

Registered at 13003 SE KENT-KANGLEY RD SUITE 110, KENT, WA 98030 (Tel: 2536382424)

πŸ“
Business Mailing Address (Initial Record) June 04, 2018

Registered at 13003 SE KENT-KANGLEY RD SUITE 110, KENT, WA 98030

πŸ‘€
Provider Name / Credentials (Initial Record) June 04, 2018

Recorded as KYLE WAGNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2018

Chiropractor (license number reported to NPPES: WA CH60849715)

🟒
Initial NPI Registration & Enumeration June 04, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104318310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 04, 2018
Last Update: March 25, 2024
Sole Proprietor: No

Other Chiropractors in Covington

Healthcare providers in Covington

Mailing Address

15610 Se 272nd St Bldg A

Covington, WA 980424416

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.