Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kimberly Lue Wagner, MD

Individual provider Neurology Physician · NPI 1922325497

Mrs. Kimberly Lue Wagner, MD is a Neurology in Colorado Springs, Colorado. Qualified in 2009, 17 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
17
Licensed in
CO
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5825 Delmonico Dr Ste 102
Colorado Springs, CO 80919-2243
Phone: (719) 715-4882
Fax: (303) 381-1566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11700 W 2nd Pl Ste 255, Lakewood, CO 80228-1707 — (720) 321-8040

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence DR.0053519 (CO)

Record details

NPI number1922325497
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2010
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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