Kathy Wagle, APRN, CNS
Kathy Wagle, APRN, CNS is a Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in St Louis Park, MN, registered under NPI 1912983727. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3800 PARK NICOLLET BLVD, St Louis Park, MN 55416. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CNS 0187 | MN | Child & Adolescent Psychiatric/Mental… primary |
| R0782195 | MN | Adult Psychiatric/Mental Health… |
This provider holds licence CNS 0187 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Certified Clinical Nurse Specialist (cns)
- PAC ID
- 4486849569
- Enrollment ID
- I20101115000930
Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Clinical Nurse Specialist (cns). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health, Child & Adolescent covers
Definition to come... NUCC Health Care Provider Taxonomy, code 364SP0807X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 364SP0807X | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent | CNS 0187 | MN | primary |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse Psychiatric/Mental Health, Adult | R0782195 | MN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1912983727 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Dec 22, 2005 |
| Last updated | Mar 11, 2016 |
| Status | Active |
| Sole proprietor | No |
| Credential | APRN, CNS |
| Practice address |
3800 PARK NICOLLET BLVD St Louis Park, MN 55416 (952) 993-3307 |
| Mailing address |
8170 33RD AVE S PO BOX 1309 MAIL STOP 21110Q Minneapolis, MN 55425 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 1 | 2 | 9 | 8 | 3 | 7 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 2 | 2 | 9 | 8 | 6 | 7 | 4 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.