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TANYA WAGNER FNP-C
NPI 1043091861
Nurse Practitioner - Family in Chicago, IL

Active since October 09, 2023PECOS Enrolled
200 E 75TH ST STE 200, CHICAGO, IL 60619(872) 231-4100 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2026, May 1, 2024, Oct 9, 2023 (3 updates tracked since 2023).

About Tanya Wagner Fnp-c NPPES

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

TANYA WAGNER FNP-C (NPI 1043091861) is an individual family provider in Chicago, Illinois, licensed in Illinois (209028368) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043091861
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTANYA WAGNERCredential: FNP-C
Location Address200 E 75TH ST STE 200Chicago, IL 60619-2280
Mailing Address200 E 75th St Ste 200Chicago, IL 60619-2280 · (872) 231-4100
Phone(872) 231-4100
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 9, 2023
Last NPPES UpdateJanuary 10, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
✔ NPI 1043091861 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 IL · 209028368
200 E 75TH ST STE 200, Chicago, IL 60619
Open in Google Maps ↗

Secondary Practice Location 1

Location 18950 S Cottage Grove AveChicago, IL 60619-6932 · Phone (872) 231-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanya Wagner Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719333558
PECOS Enrollment IDI20231030003415
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 60619 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

BLESSINGS COMMUNITY CARE CLINIC LLC
Nurse Practitioner (Family)
200 E 75TH ST STE 200
CHICAGO, IL 60619
Cook County (872) 231-4100

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 Tanya Wagner's NPI number?

The NPI number for Tanya Wagner is 1043091861. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Tanya Wagner located?

Tanya Wagner practices at 200 E 75th St Ste 200, Chicago, IL 60619. The listed phone number is (872) 231-4100.

What is Tanya Wagner's specialty?

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

Is Tanya Wagner enrolled in Medicare?

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

What insurance does Tanya Wagner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Tanya 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 Tanya Wagner was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.