MATTHEW WAGNER
NPI 1053785840
Nurse Practitioner - Family in Wabasha, MN

Active since November 17, 2015PECOS EnrolledAccepts Medicare Assignment
1200 GRANT BLVD W, WABASHA, MN 55981(651) 565-5600 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2018, Feb 11, 2016, Dec 10, 2015 and 1 more (4 updates tracked since 2015).

About Matthew Wagner NPPES

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

MATTHEW WAGNER (NPI 1053785840) is an individual family provider in Wabasha, Minnesota, licensed in Minnesota (CNP 4307) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Medical Center, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1053785840
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW WAGNER
Location Address1200 GRANT BLVD WWabasha, MN 55981
Mailing Address1200 Grant Blvd WWabasha, MN 55981-1042 · (651) 565-5600
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2015
Enumeration DateNovember 17, 2015
Last NPPES UpdateNovember 14, 20184 updates tracked since enumeration
NPI 1053785840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · CNP 4307
Also ListedRegistered NurseTaxonomy 163W00000X · License R 170201-9 (MN)
1200 GRANT BLVD W, Wabasha, MN 55981

Secondary Practice Location 1

Location 1210 9th St SERochester, MN 55904-6756 · Phone (507) 288-3443

Other Identifiers 2

OtherCNP 4307MN · Aprn License
OtherR 170201-9MN · Rn License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Wagner 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 ID4284937418
PECOS Enrollment IDI20160122000332, I20181213002408
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
181 services41 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Medical Center

Critical Access Hospitals · Wabasha, MN
OwnershipProprietary
CMS Certification Number241335
Location1200 Grant Blvd WWabasha, MN 55981 · Wabasha County
Emergency services

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55981 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$70.62 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$16.27 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers28 claims28 services$40.00 avg. paid by Medicare
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar E0912
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$69.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$93.25 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers58 claims58 services$186.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
1200 GRANT BLVD W
WABASHA, MN 55981
Psychiatry & Neurology (Geriatric Psychiatry)
1200 GRANT BLVD W
WABASHA, MN 55981
Home Health
1200 GRANT BLVD W
WABASHA, MN 55981
Clinic/Center
1200 GRANT BLVD W
WABASHA, MN 55981
Psychiatry & Neurology (Psychiatry)
1200 GRANT BLVD W
WABASHA, MN 55981
Physical Therapist
1200 GRANT BLVD W
WABASHA, MN 55981
Physical Therapist
1200 GRANT BLVD W
WABASHA, MN 55981
Orthopaedic Surgery
1200 GRANT BLVD W
WABASHA, MN 55981

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 Matthew Wagner's NPI number?

The NPI number for Matthew Wagner is 1053785840. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Where is Matthew Wagner located?

Matthew Wagner practices at 1200 Grant Blvd W, Wabasha, MN 55981. The listed phone number is (651) 565-5600.

What is Matthew Wagner's specialty?

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

Is Matthew Wagner enrolled in Medicare?

Yes. Matthew 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.

What insurance does Matthew Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Medica, Quartz and Security Health Plan list Matthew 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.

Is Matthew Wagner affiliated with any hospitals?

According to CMS data, Matthew Wagner is affiliated with St Elizabeth Medical Center and Gundersen Lutheran Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Wagner was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.