1. Home
  2. Directory
  3. Virginia
  4. Petersburg
  5. Nurse Practitioner
  6. NPI Profile

MELISSA DALTON WAGNER APRN
NPI 1174992382
Nurse Practitioner - Family in Petersburg, VA

Active since September 17, 2015PECOS EnrolledAccepts Medicare Assignment
34 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 609-0175(804) 835-5999 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, May 21, 2018 (2 updates tracked since 2018).

About Melissa Dalton Wagner Aprn NPPES

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

MELISSA DALTON WAGNER APRN (NPI 1174992382) is an individual family provider in Petersburg, Virginia, licensed in Virginia (0024184994) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174992382
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA DALTON WAGNERCredential: APRN
Location Address34 MEDICAL PARK BLVDPetersburg, VA 23805-9283
Mailing Address34 Medical Park BlvdPetersburg, VA 23805-9283 · (804) 609-0175 · Fax (804) 835-5999
Phone(804) 609-0175
Fax(804) 835-5999
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 17, 2015
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1174992382 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 VA · 0024184994✔ Licensed in KY · 3009798
34 MEDICAL PARK BLVD, Petersburg, VA 23805
Open in Google Maps ↗

Other Identifiers 3

Other3009798KY · Aprn License Number
Medicaid7100385910KY
OtherF0915844Aanp Certification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Melissa Dalton Wagner Aprn 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 ID6709170343
PECOS Enrollment IDI20251124003033
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 23805 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers18 claims34 services$5.42 avg. paid by Medicare
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849
DME-Other DME · category DE000N
1 supplier11 claims11 services$21.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$70.32 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.44 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$105.63 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 3

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

THE PETERSBURG SMILE CENTER, P.C.
Dentist
34 MEDICAL PARK BLVD, SUITE E
PETERSBURG, VA 23805
Petersburg City (804) 732-8800
VALERIE L JASKOWSKI FNP
Nurse Practitioner (Family)
34 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 609-0175
DR. PAUL ERIC TSCHETSCHOT DC
Chiropractor
34 MEDICAL PARK BLVD, SUITE C
PETERSBURG, VA 23805
Petersburg City (804) 862-2255

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 Melissa Wagner's NPI number?

The NPI number for Melissa Wagner is 1174992382. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Melissa Wagner located?

Melissa Wagner practices at 34 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 609-0175.

What is Melissa Wagner's specialty?

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

Is Melissa Wagner enrolled in Medicare?

Yes. Melissa 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.

What insurance does Melissa Wagner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Melissa Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Wagner was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.