MS. ANNALIESE O WAGNER DNP, FNP-C
NPI 1043874571
Nurse Practitioner - Family in Madison, WI

Q: What is Annaliese Wagner's NPI number?

The NPI number for Annaliese Wagner is 1043874571. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Q: What is Annaliese Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Annaliese Wagner was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 30, 2019PECOS Enrolled

2500 OVERLOOK TER, MADISON, WI 53705(608) 280-7131 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2023, Apr 30, 2019 (2 updates tracked since 2019).

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About Ms. Annaliese O Wagner Dnp, Fnp-c NPPES

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

MS. ANNALIESE O WAGNER DNP, FNP-C (NPI 1043874571) is an individual family provider in Madison, Wisconsin, licensed in Wisconsin (9291-33) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043874571

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ANNALIESE O WAGNERCredential: DNP, FNP-C

Location Address2500 OVERLOOK TERMadison, WI 53705-2254

Mailing Address2500 Overlook TerMadison, WI 53705-2254 · (608) 280-7131

Phone(608) 280-7131

Sole ProprietorNo

Enumeration DateApril 30, 2019

Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1043874571 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 WI · 9291-33

2500 OVERLOOK TER, Madison, WI 53705

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Other Identifiers 1

Medicaid0254161WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Annaliese O Wagner Dnp, Fnp-c 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 53705 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

MEGHANN BETH KRUEGER M.S.W.

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