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

Active since January 23, 2026PECOS EnrolledAccepts Medicare Assignment
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: October 18, 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 and is a graduate of Other (2025).

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
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Earnestine Wagner Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355807637
PECOS Enrollment IDI20260727003936
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.

Medicare Billing Reassignment

Medicare enrollment records show Earnestine Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
558 COUNTY ROAD 56
Vredenburgh, AL 36481
  • Reassigned Medicare billing, Alabama enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Family Medicine
411 WILSON AVE W
THOMASVILLE, AL 36784
Internal Medicine
411 WILSON AVE W
THOMASVILLE, AL 36784
Family Medicine
411 WILSON AVE W
THOMASVILLE, AL 36784

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Earnestine Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Earnestine Wagner reassigns Medicare benefits to Rural Health Medical Program, Inc (Vredenburgh, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Earnestine Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Earnestine Wagner accept?

Health plans from Blue Cross and Blue Shield of Alabama list Earnestine Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 8 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.