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EARNESTINE WAGNER CRNP
NPI 1023967098
Nurse Practitioner - Family in Thomasville, AL

Active since January 23, 2026PECOS Enrolled
411 WILSON AVE W, THOMASVILLE, AL 36784(334) 609-1970 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Earnestine Wagner Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EARNESTINE WAGNER CRNP (NPI 1023967098) is an individual family provider in Thomasville, Alabama, licensed in Alabama (1-118050) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023967098
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEARNESTINE WAGNERCredential: CRNP
Location Address411 WILSON AVE WThomasville, AL 36784-2015
Mailing Address101 Park PlSelma, AL 36701-6764 · (334) 874-7428
Phone(334) 609-1970
Sole ProprietorYes
Enumeration DateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
✔ NPI 1023967098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-118050
411 WILSON AVE W, Thomasville, AL 36784
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Earnestine Wagner Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36784 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RURAL HEALTH MEDICAL PROGRAM, INC
Family Medicine
411 WILSON AVE W
THOMASVILLE, AL 36784
Clarke County (334) 874-7428
INTERNAL MEDICAL CLINIC OF THOMASVILLE, LLC
Internal Medicine
411 WILSON AVE W
THOMASVILLE, AL 36784
Clarke County (334) 636-5696
LINDA K DAVENPORT MD P L L C
Family Medicine
411 WILSON AVE W
THOMASVILLE, AL 36784
Clarke County (334) 636-2258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earnestine Wagner's NPI number?

The NPI number for Earnestine Wagner is 1023967098. It was assigned to this individual provider in the NPPES registry on January 23, 2026.

Where is Earnestine Wagner located?

Earnestine Wagner practices at 411 Wilson Ave W, Thomasville, AL 36784. The listed phone number is (334) 609-1970.

What is Earnestine Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Earnestine Wagner enrolled in Medicare?

Yes. Earnestine Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Earnestine Wagner was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.