MS. DARA MARIE WAGNER APN-C
NPI 1063046464
Nurse Practitioner - Family in Canton, IL

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
180 S MAIN ST, CANTON, IL 61520(309) 647-0201 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 20, 2021, Sep 9, 2021, Apr 16, 2020 and 1 more (4 updates tracked since 2020).

About Ms. Dara Marie Wagner Apn-c NPPES

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

MS. DARA MARIE WAGNER APN-C (NPI 1063046464) is an individual family provider in Canton, Illinois, licensed in Illinois (209020976) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063046464
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DARA MARIE WAGNERCredential: APN-C
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 25, 2020
Last NPPES UpdateOctober 20, 20214 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
NPI 1063046464 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 IL · 209020976
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209020976 (IL)
180 S MAIN ST, Canton, IL 61520

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

Ms. Dara Marie Wagner Apn-c 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 ID2163829979
PECOS Enrollment IDI20210921003532
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services58 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

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.

Surgery
180 S MAIN ST
CANTON, IL 61520
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Audiologist
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Obstetrics & Gynecology
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520

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 Dara Wagner's NPI number?

The NPI number for Dara Wagner is 1063046464. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Dara Wagner located?

Dara Wagner practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Dara Wagner's specialty?

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

Is Dara Wagner enrolled in Medicare?

Yes. Dara 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.

Is Dara Wagner affiliated with any hospitals?

According to CMS data, Dara Wagner is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Dara Wagner was last updated on October 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.