Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELISE WAGNER FNP-C
NPI 1073424180
Nurse Practitioner in Charleston, SC

Q: What is Elise Wagner's NPI number?

The NPI number for Elise Wagner is 1073424180. It was assigned to this individual provider in the NPPES registry on September 16, 2026.

Q: What is Elise Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elise Wagner was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 September 16, 2026

2559 MONA AVE, CHARLESTON, SC 29414(843) 226-5190 Get Directions Write a Review

NPPES record added: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Elise Wagner Fnp-c NPPES

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

ELISE WAGNER FNP-C (NPI 1073424180) is an individual nurse practitioner in Charleston, South Carolina, licensed in South Carolina (32792) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1073424180

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELISE WAGNERCredential: FNP-C

Location Address2559 MONA AVECharleston, SC 29414-6414

Mailing Address2559 Mona AveCharleston, SC 29414-6414 · (843) 226-5190

Phone(843) 226-5190

Sole ProprietorNo

Enumeration DateSeptember 16, 2026

NPPES CertifiedSeptember 2, 2026

✔ NPI 1073424180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 32792

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2559 MONA AVE, Charleston, SC 29414

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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 Elise Wagner's NPI number?

The NPI number for Elise Wagner is 1073424180. It was assigned to this individual provider in the NPPES registry on September 16, 2026.

Where is Elise Wagner located?

Elise Wagner practices at 2559 Mona Ave, Charleston, SC 29414. The listed phone number is (843) 226-5190.

What is Elise Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Elise Wagner was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.