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BRIDGET NORA WAGNER PA-C
NPI 1174373534
Physician Assistant in Oak Lawn, IL

Active since March 26, 2024PECOS Enrolled
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-8000 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2024, Aug 9, 2024, Apr 24, 2024 (3 updates tracked since 2024).

About Bridget Nora Wagner Pa-c NPPES

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

BRIDGET NORA WAGNER PA-C (NPI 1174373534) is an individual physician assistant in Oak Lawn, Illinois, licensed in Illinois (085.010348) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174373534
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRIDGET NORA WAGNERCredential: PA-C
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(708) 684-8000
Sole ProprietorYes
Enumeration DateMarch 26, 2024
Last NPPES UpdateAugust 23, 20243 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1174373534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.010348
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4440 W 95TH ST, Oak Lawn, IL 60453
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridget Nora Wagner Pa-c 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 60453 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

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 Bridget Wagner's NPI number?

The NPI number for Bridget Wagner is 1174373534. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Bridget Wagner located?

Bridget Wagner practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-8000.

What is Bridget Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bridget Wagner enrolled in Medicare?

Yes. Bridget Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bridget Wagner was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.