MS. NICOLE WAGNER APN
NPI 1194968602
Clinical Nurse Specialist - Adult Health in Wauconda, IL

Q: What is Nicole Wagner's NPI number?

The NPI number for Nicole Wagner is 1194968602. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Q: What is Nicole Wagner's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wagner was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment

431 W LIBERTY ST, WAUCONDA, IL 60084(847) 526-2151(847) 526-2017 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Nicole Wagner Apn NPPES

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

MS. NICOLE WAGNER APN (NPI 1194968602) is an individual adult health provider in Wauconda, Illinois, licensed in Illinois (209004749) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2001).

NPPES Registry Identity

NPI1194968602

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameMS. NICOLE WAGNERCredential: APN

Location Address431 W LIBERTY STWauconda, IL 60084-2452

Mailing AddressPo Box 6037Wauconda, IL 60084 · (847) 526-2151 · Fax (847) 526-2017

Phone(847) 526-2151

Fax(847) 526-2017

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2001

Enumeration DateApril 14, 2009

Last NPPES UpdateJune 24, 2019

✔ NPI 1194968602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in IL · 209004749

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209004749 (IL)

431 W LIBERTY ST, Wauconda, IL 60084

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Accepted Insurance

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

Ms. Nicole Wagner Apn 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 ID9133418577

PECOS Enrollment IDI20160525000945

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 2

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.

106 services71 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.

27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60084 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$13.92 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

1 supplier12 claims12 services$62.62 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 20

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

KRISTINE M REDMOND APRN, NP-C

Nurse Practitioner (Family)