MARIANNE WAGNER A.C.N.P.
NPI 1164656195
Nurse Practitioner - Acute Care in Miami, FL

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-6531 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marianne Wagner A.c.n.p. NPPES

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

MARIANNE WAGNER A.C.N.P. (NPI 1164656195) is an individual acute care provider in Miami, Florida, licensed in Florida (9180454) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164656195
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMARIANNE WAGNERCredential: A.C.N.P.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address11111 Sw 236th TerHomestead, FL 33032-6232
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 5, 2009
Last NPPES UpdateJune 19, 2024
NPPES CertifiedJune 19, 2024
NPI 1164656195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in FL · 9180454
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN9180454 (FL)
1611 NW 12TH AVE, Miami, FL 33136

Accepted Insurance

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

Marianne Wagner A.c.n.p. 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 ID9931245636
PECOS Enrollment IDI20091012000030
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 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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.

Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Critical Care Medicine)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE, PHARMACY DEPARTMENT
MIAMI, FL 33136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164656195, enumerated as an "individual" on May 05, 2009.

The provider is located at 1611 NW 12TH AVE MIAMI, FL 33136 and the phone number is (305) 585-6531.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: AmeriHealth Caritas Next and AvMed. Please consult your insurance carrier or call the provider to verify.