BAILEY ALYSE WAGNER FNP
NPI 1124982194
Nurse Practitioner - Family in Greenville, SC

Active since December 12, 2025PECOS EnrolledAccepts Medicare Assignment
1120 GROVE RD, GREENVILLE, SC 29605(864) 455-8897(864) 455-8555 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Dec 12, 2025 (2 updates tracked since 2025).

About Bailey Alyse Wagner Fnp NPPES

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

BAILEY ALYSE WAGNER FNP (NPI 1124982194) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (31396) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Easley, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124982194
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBAILEY ALYSE WAGNERCredential: FNP
Location Address1120 GROVE RDGreenville, SC 29605-4656
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697
Fax(864) 455-8555
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 12, 2025
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1124982194 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
Licenses Licensed in SC · 31396 Licensed in SC · 254984
1120 GROVE RD, Greenville, SC 29605

Secondary Practice Location 1

Location 1100 Hunt RdEasley, SC 29642-9564 · Phone (864) 386-8923

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

Bailey Alyse Wagner 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 ID8729560867
PECOS Enrollment IDI20260306001611
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 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 20

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

Advanced Practice Midwife
1120 GROVE RD, SUITE B
GREENVILLE, SC 29605
Obstetrics & Gynecology
1120 GROVE RD
GREENVILLE, SC 29605
Nurse Practitioner (Women's Health)
1120 GROVE RD
GREENVILLE, SC 29605
Midwife
1120 GROVE RD, SUITE B
GREENVILLE, SC 29605
Nurse Practitioner (Women's Health)
1120 GROVE RD
GREENVILLE, SC 29605
Obstetrics & Gynecology
1120 GROVE RD
GREENVILLE, SC 29605
Obstetrics & Gynecology
1120 GROVE RD
GREENVILLE, SC 29605
Nurse Practitioner (Family)
1120 GROVE RD
GREENVILLE, SC 29605

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 Bailey Wagner's NPI number?

The NPI number for Bailey Wagner is 1124982194. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Bailey Wagner located?

Bailey Wagner practices at 1120 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-8897.

What is Bailey Wagner's specialty?

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

Is Bailey Wagner enrolled in Medicare?

Yes. Bailey 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.

When was this NPI record last updated?

The NPPES record for Bailey Wagner was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.