What is Niki Wagner's NPI number?

Niki Wagner's National Provider Identifier (NPI) is 1063380061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Niki Wagner's specialty?

Niki Wagner is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Niki Wagner located?

Niki Wagner's practice location on file with NPPES is 1904 Jennie Lee Dr, Idaho Falls, ID 83404-6159.

What is Niki Wagner's phone number?

The practice phone number listed in the NPPES registry for Niki Wagner is (208) 974-5200.

Is Niki Wagner's NPI active?

Yes — Niki Wagner's NPI (1063380061) is active in the NPPES registry as of the last update on 2025-10-29.

IndividualActive

Niki Wagner

NPI 1063380061 · Case Manager/Care Coordinator · Idaho Falls, ID

Niki Wagner is a Case Manager/Care Coordinator provider in Idaho Falls, ID (NPI 1063380061).

Provider details

NPI number: 1063380061
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

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

1904 Jennie Lee Dr

Idaho Falls, ID 83404-6159

Phone: (208) 974-5200

Street-level locationGet directions

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Mailing address