ERIN R VAN WAGENEN MD
NPI 1124314513
Pediatrics in Lewiston, ME

Q: What is Erin Van Wagenen's NPI number?

The NPI number for Erin Van Wagenen is 1124314513. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Erin Van Wagenen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Van Wagenen was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 23, 2011PECOS Enrolled

12 HIGH ST STE 302, LEWISTON, ME 04240(207) 795-5730(207) 795-5749 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Erin R Van Wagenen Md NPPES

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

ERIN R VAN WAGENEN MD (NPI 1124314513) is an individual pediatrics provider in Lewiston, Maine, licensed in Maine (MD20134) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124314513

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameERIN R VAN WAGENENCredential: MD

Location Address12 HIGH ST STE 302Lewiston, ME 04240-7690

Mailing Address12 High St Ste 302Lewiston, ME 04240-7690 · (207) 795-5730 · Fax (207) 795-5749

Phone(207) 795-5730

Fax(207) 795-5749

Sole ProprietorNo

Enumeration DateJune 23, 2011

Last NPPES UpdateNovember 6, 2025

NPPES CertifiedNovember 6, 2025

✔ NPI 1124314513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ME · MD20134

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12 HIGH ST STE 302, Lewiston, ME 04240

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin R Van Wagenen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$94.60 typical visit price

range $16.90 – $132.79

Typical copayment $23.65 (range $4.22 – $33.19)

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 5

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

AMBIA AHMED MD

Pediatrics