HEATHER WAGNER
NPI 1063834786
Nurse Practitioner - Family in Oklahoma City, OK

Active since January 15, 2014Opted out of Medicare · through Apr 1, 2028
9800 BROADWAY EXT STE 200, OKLAHOMA CITY, OK 73114(405) 715-4496 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather Wagner NPPES

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

HEATHER WAGNER (NPI 1063834786) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R 0088946) and active in the NPI registry since January 2014. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063834786
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER WAGNER
Location Address9800 BROADWAY EXT STE 200Oklahoma City, OK 73114-6304
Mailing Address9800 Broadway Ext Ste 200Oklahoma City, OK 73114-6304 · (405) 715-4496
Sole ProprietorNo
Enumeration DateJanuary 15, 2014
Last NPPES UpdateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
NPI 1063834786 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 OK · R 0088946
9800 BROADWAY EXT STE 200, Oklahoma City, OK 73114

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Heather Wagner has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73114 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 4

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

Nurse Practitioner (Family)
9800 BROADWAY EXT STE 200
OKLAHOMA CITY, OK 73114
Physician Assistant
9800 BROADWAY EXT STE 200
OKLAHOMA CITY, OK 73114
Obstetrics & Gynecology (Gynecology)
9800 BROADWAY EXT STE 200
OKLAHOMA CITY, OK 73114
Nurse Practitioner (Women's Health)
9800 BROADWAY EXT STE 200
OKLAHOMA CITY, OK 73114

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 Heather Wagner's NPI number?

The NPI number for Heather Wagner is 1063834786. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Where is Heather Wagner located?

Heather Wagner practices at 9800 Broadway Ext Ste 200, Oklahoma City, OK 73114. The listed phone number is (405) 715-4496.

What is Heather Wagner's specialty?

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

Is Heather Wagner enrolled in Medicare?

No. Heather Wagner has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Heather Wagner was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.