Individual provider Active NPI

Wendi Suzanne Wagner Kleppinger, PH.D., PA-C

  • Physician Assistant
  • Georgetown, TX
National Provider Identifier
1760713432
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3201 S Austin Ave Ste 210
Georgetown, TX 78626-7639
Phone
(512) 763-4000
Fax
(512) 930-4946
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3201 S Austin Ave Ste 210
Georgetown, TX 78626-7639

Mailing address

3201 S Austin Ave Ste 210
Georgetown, TX 78626-7639
Phone (512) 763-4000

Other identifiers 1

IdentifierTypeStateIssuer
288015501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204002108 CO Practitioner - Physician Assistant 0042489759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Oct 29, 2018 Accepting new patients
American Current Care PA CurrentSince Oct 29, 2018 Accepting new patients
St. Clair Emergency Physicians, LLC. Past Accepting new patients

Locations

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1760713432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE STE 210",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267639",
            "telephone_number": "512-763-4000",
            "fax_number": "512-930-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE STE 210",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267639",
            "telephone_number": "512-763-4000",
            "fax_number": "512-930-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER KLEPPINGER",
        "first_name": "WENDI",
        "middle_name": "SUZANNE",
        "credential": "PH.D., PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288015501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.