Kathy Wagle, APRN, CNS - Medicare Clinical Nurse Specialist in St Louis Park, MN

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Kathy Wagle, APRN, CNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in St Louis Park, Minnesota. Her current practice location is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3307.

Kathy Wagle is licensed to practice in Minnesota (license number CNS 0187) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912983727.

Contact Information

Kathy Wagle, APRN, CNS
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527
(952) 993-3307
Not Available

Map and Direction




Provider's Profile

Full NameKathy Wagle
GenderFemale
SpecialityClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent
Location3800 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912983727
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 03/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4486849569
  • Enrollment ID: I20101115000930

Medical Identifiers

Medical identifiers for Kathy Wagle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912983727NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult R0782195 (Minnesota)Secondary
364SP0807XClinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent CNS 0187 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathy Wagle allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathy Wagle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathy Wagle, APRN, CNS
8170 33rd Ave S, Po Box 1309 Mail Stop 21110q,
Minneapolis, MN 55425-4516

Ph: () -		Kathy Wagle, APRN, CNS
3800 Park Nicollet Blvd,
St Louis Park, MN 55416-2527

Ph: (952) 993-3307

Reviews and Comments


Clinical Nurse Specialist Nurses in St Louis Park, MN

Maggie Hysjulien Christ, CNP
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3400    Fax: 952-993-3286
Ms. Shelly L Bartsch, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3010    
Ms. Renea A Bradley, APRN, CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3393    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.