Kendall D. Wagner, M.D., PLLC
NPI 1528721271 · Primary Care Clinic/Center · Fort Smith, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kendall D. Wagner, M.D., PLLC is a Primary Care Clinic/Center organization in Fort Smith, AR (NPI 1528721271).
Provider details
- NPI number
- 1528721271
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kendall Wagner, Physician(501) 766-6311
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Chaffee Crossing Clinic
Registry dates
- Enumerated
- 2021-10-20
- Last updated
- 2021-10-20
- Certified
- 2021-10-19
Frequently asked questions
- What is Kendall D. Wagner, M.D., PLLC's NPI number?
- Kendall D. Wagner, M.D., PLLC's National Provider Identifier (NPI) is 1528721271, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kendall D. Wagner, M.D., PLLC?
- Kendall D. Wagner, M.D., PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kendall D. Wagner, M.D., PLLC located?
- Kendall D. Wagner, M.D., PLLC's practice location on file with NPPES is 11300 Roberts Blvd, Fort Smith, AR 72916-6027.
- What is Kendall D. Wagner, M.D., PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kendall D. Wagner, M.D., PLLC is (000) 000-0000.
- Does Kendall D. Wagner, M.D., PLLC accept Medicare?
- Kendall D. Wagner, M.D., PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kendall D. Wagner, M.D., PLLC?
- The authorized official listed on Kendall D. Wagner, M.D., PLLC's NPPES record is Kendall Wagner, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kendall D. Wagner, M.D., PLLC's NPI active?
- Yes — Kendall D. Wagner, M.D., PLLC's NPI (1528721271) is active in the NPPES registry as of the last update on 2021-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.