Nicole Wagner
NPI 1154759033 · Emotionally Disturbed Childrens' Residential Treatment Facility · Grass Valley, CA
Nicole Wagner is a Emotionally Disturbed Childrens' Residential Treatment Facility provider in Grass Valley, CA (NPI 1154759033).
Provider details
- NPI number
- 1154759033
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES 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
Mailing address
Registry dates
- Enumerated
- 2013-10-31
- Last updated
- 2013-10-31
Frequently asked questions
- What is Nicole Wagner's NPI number?
- Nicole Wagner's National Provider Identifier (NPI) is 1154759033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wagner's specialty?
- Nicole Wagner is listed in the NPPES registry with a primary specialty of Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Nicole Wagner located?
- Nicole Wagner's practice location on file with NPPES is 714 W Main St, Grass Valley, CA 95945.
- What is Nicole Wagner's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wagner is (530) 477-9800.
- Is Nicole Wagner's NPI active?
- Yes — Nicole Wagner's NPI (1154759033) is active in the NPPES registry as of the last update on 2013-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.