IndividualActive
Dallas Wager
NPI 1245650779 · Licensed Practical Nurse · Rensselaer, NY
Provider details
- NPI number
- 1245650779
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 293175 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(76/100 index)
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
100% 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
87 Washington St
Rensselaer, NY 12144-2613
Phone: (518) 449-1142
Street-level locationGet directions
Mailing address
Pox 148
Rensselaer, NY 12144
Registry dates
- Enumerated
- 2014-04-23
- Last updated
- 2014-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.