Doctor profile · Federal record

Dr. Kelly van Wagner, M.D.

Internal Medicine Physician · N. Las Vegas, NV

  • NPI 1306035571
  • 19 yrs on file
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 4 locations .

NPPES Updated May 11, 2026
Primary practice
6380 N. Decatur Blvd, Ste 215
N. Las Vegas, NV 89084
(702) 948-1145
fax (702) 949-6206
Additional location
1380 European Dr
Henderson, NV 890524020
(702) 419-3535
Additional location
5230 Boulder Hwy Ste 110
Las Vegas, NV 891226077
(702) 940-1560
fax (702) 940-1561
Show 1 more location
Additional location
6355 S Buffalo Dr Fl 3
Las Vegas, NV 891132133
(702) 216-3346
fax (702) 671-6883
Mailing address
6355 S Buffalo Dr Fl 3
Las Vegas, NV 891132133

Credentials & registration

NPPES · NUCC
NPI registered
October 2007 — 19 yrs on file
Profile last updated
February 13, 2023
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Nevada #9533
Medicaid
NV #1306035571

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1306035571. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
119
Distinct HCPCS
6
Medicare allowed
$8,811
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 38 37 $120
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 31 31 $124
36415 Insertion of needle into vein for collection of blood sample 15 13 $8
80053 Blood test, comprehensive group of blood chemicals 12 11 $10
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing 12 11 $6
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 11 11 $8

In context: peer comparison

Among 1 peers in N. Las Vegas Internal Medicine Physician, average services per provider: 19. This provider delivers 6.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
480
Patients
302
Total drug cost
$3,514
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 71 45 $557
Amlodipine Besylate Generic 55 41 $364
Losartan Potassium Generic 47 27 $417
Levothyroxine Sodium Generic 39 26 $285
Lisinopril Generic 34 20 $155
Rosuvastatin Calcium Generic 34 21 $365
Metformin Hcl Generic 31 19 $157
Montelukast Sodium Generic 28 16 $141
Metoprolol Succinate Generic 24 15 $278
Hydrochlorothiazide Generic 23 14 $54

Frequently asked questions

Auto-generated from federal data
What is Dr. Kelly van Wagner's medical specialty?
Dr. Kelly van Wagner practices Internal Medicine Physician in N. Las Vegas, NV.
Where does Dr. Kelly van Wagner practice?
Dr. Kelly van Wagner practices at 6380 N. Decatur Blvd, N. Las Vegas, NV 89084. Office phone: 7029481145.
What is Dr. Kelly van Wagner's NPI?
Dr. Kelly van Wagner's National Provider Identifier (NPI) is 1306035571, issued by NPPES.
What procedures does Dr. Kelly van Wagner commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.