GRETCHEN WAGNER MD
NPI 1194187864
Family Medicine in Greenville, WI

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
95.81/100
CMS Quality Rating
W6981 PARKVIEW DR, GREENVILLE, WI 54942(920) 882-2400 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2019, Mar 22, 2016 (2 updates tracked since 2016).

About Gretchen Wagner Md NPPES

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

GRETCHEN WAGNER MD (NPI 1194187864) is an individual family medicine provider in Greenville, Wisconsin, licensed in Wisconsin (67986-20) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1194187864
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRETCHEN WAGNERCredential: MD
Location AddressW6981 PARKVIEW DRGreenville, WI 54942-8034
Mailing AddressW6981 Parkview DrGreenville, WI 54942-8034 · (920) 882-2400
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
NPI 1194187864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 67986-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 67986-20 (WI)
W6981 PARKVIEW DR, Greenville, WI 54942

Secondary Practice Location 1

Location 11121 E North AveMilwaukee, WI 53212-3515 · Phone (414) 267-6502 · Fax (414) 267-3892

Other Identifiers 1

Medicaid100071647WI

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

Gretchen Wagner Md 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 ID1850653882
PECOS Enrollment IDI20190731000690
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
126 services69 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
69 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54942 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

95.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability81
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Family Medicine
W6981 PARKVIEW DR
GREENVILLE, WI 54942
Family Medicine
W6981 PARKVIEW DR
GREENVILLE, WI 54942
Nurse Practitioner (Family)
W6981 PARKVIEW DR
GREENVILLE, WI 54942
Durable Medical Equipment & Medical Supplies
W6981 PARKVIEW DR
GREENVILLE, WI 54942
Family Medicine
W6981 PARKVIEW DR
GREENVILLE, WI 54942
Family Medicine
W6981 PARKVIEW DR
GREENVILLE, WI 54942
Family Medicine
W6981 PARKVIEW DR
GREENVILLE, WI 54942
Clinic/Center (Multi-Specialty)
W6981 PARKVIEW DR
GREENVILLE, WI 54942

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 Gretchen Wagner's NPI number?

The NPI number for Gretchen Wagner is 1194187864. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Gretchen Wagner located?

Gretchen Wagner practices at W6981 Parkview Dr, Greenville, WI 54942. The listed phone number is (920) 882-2400.

What is Gretchen Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gretchen Wagner enrolled in Medicare?

Yes. Gretchen 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 Gretchen Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Gretchen 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.

Is Gretchen Wagner affiliated with any hospitals?

According to CMS data, Gretchen Wagner is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Gretchen Wagner was last updated on October 16, 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.