KATHY WAGLE, APRN, CNS

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · ST LOUIS PARK, MN

Individual Active NPI 1912983727

Medicare payment data Part B · 2023

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2023	21	34	$13,392	$3,737	$2,664
2022	31	163	$17,663	$6,411	$4,241

Taxonomy & licensure

Specialty	Code	Primary	License	State
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist	364SP0807X	✓	CNS 0187	MN
Adult Psychiatric/Mental Health Registered Nurse	163WP0809X		R0782195	MN

Medicare eligibility

Part B: No
DME: Yes
Home health: No
Power mobility: Yes
Hospice: No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.