Nolan Wagner, LAT
NPI 1053039016 · Athletic Trainer · Green Bay, WI
Nolan Wagner, LAT is a Athletic Trainer provider in Green Bay, WI (NPI 1053039016).
Provider details
- NPI number
- 1053039016
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- No
- License
- 2289-39 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1415 E Walnut StGreen Bay, WI 54301-4305Phone: (920) 448-2090
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Nolan Wagner's NPI number?
- Nolan Wagner's National Provider Identifier (NPI) is 1053039016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nolan Wagner's specialty?
- Nolan Wagner is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nolan Wagner located?
- Nolan Wagner's practice location on file with NPPES is 1970 S Ridge Rd, Green Bay, WI 54304-4125.
- What is Nolan Wagner's phone number?
- The practice phone number listed in the NPPES registry for Nolan Wagner is (920) 430-4888.
- Is Nolan Wagner's NPI active?
- Yes — Nolan Wagner's NPI (1053039016) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.