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

Niki Wagner

Individual provider Case Manager/Care Coordinator · NPI 1063380061

Niki Wagner is a Case Manager/Care Coordinator in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

3240 S Woodruff Ave
Idaho Falls, ID 83404-8305
Phone: (208) 974-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (ID)

Record details

NPI number1063380061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address3240 S Woodruff Ave, Idaho Falls, ID 83404-8305

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