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MICHAEL C WAGNER II FNP
NPI 1073655825
Nurse Practitioner - Family in Danville, IL

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
70.27/100
CMS Quality Rating
1017 W WILLIAMS ST, DANVILLE, IL 61832(217) 213-5254(217) 213-5240 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael C Wagner Ii Fnp NPPES

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

MICHAEL C WAGNER II FNP (NPI 1073655825) is an individual family provider in Danville, Illinois, licensed in Illinois (209003483) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1073655825
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL C WAGNER IICredential: FNP
Location Address1017 W WILLIAMS STDanville, IL 61832-4468
Mailing Address1017 W Williams StDanville, IL 61832-4468 · (217) 213-5254 · Fax (217) 213-5240
Phone(217) 213-5254
Fax(217) 213-5240
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1073655825 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 IL · 209003483
1017 W WILLIAMS ST, Danville, IL 61832
Open in Google Maps ↗

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

Michael C Wagner Ii Fnp 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 ID4587738802
PECOS Enrollment IDI20080805000589
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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
364 services100 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
267 services27 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.
72 services44 patients
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.
39 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Osf Sacred Heart Medical Center

Acute Care Hospitals · Danville, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140093
Location812 N Logan AveDanville, IL 61832 · Vermilion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61832 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.

70.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.77
Promoting Interoperability97
Improvement Activities40
Cost21.68

Referred Medical Equipment & Supplies CMS DME claims 13

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers17 claims17 services$89.15 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims37 services$38.50 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers13 claims13 services$19.04 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers26 claims26 services$14.75 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers25 claims140 services$1.94 avg. paid by Medicare
Filter, non disposable, used with positive airway pressure device A7039
DME-Other DME · category DE001N
1 supplier11 claims11 services$6.54 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

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

DR. NIRMALA RAJESWAREN M.D.
Pediatrics
1017 W WILLIAMS ST
DANVILLE, IL 61832
Vermilion County (217) 446-0446

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 Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1073655825. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Michael Wagner located?

Michael Wagner practices at 1017 W Williams St, Danville, IL 61832. The listed phone number is (217) 213-5254.

What is Michael Wagner's specialty?

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

Is Michael Wagner enrolled in Medicare?

Yes. Michael 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 Michael Wagner affiliated with any hospitals?

According to CMS data, Michael Wagner is affiliated with Carle Foundation Hospital and Osf Sacred Heart Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.