SUSAN WAGNER NP
NPI 1205979812
Nurse Practitioner - Adult Health in North Syracuse, NY

Q: What is Susan Wagner's NPI number?

The NPI number for Susan Wagner is 1205979812. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Susan Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Susan Wagner was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 February 14, 2007PECOS Enrolled

6846 BUCKLEY RD, NORTH SYRACUSE, NY 13212(315) 410-6400(315) 410-6410 Get Directions Write a Review

NPPES record last updated: November 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan Wagner Np NPPES

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

SUSAN WAGNER NP (NPI 1205979812) is an individual adult health provider in North Syracuse, New York, licensed in New York (F300531) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205979812

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSUSAN WAGNERCredential: NP

Location Address6846 BUCKLEY RDNorth Syracuse, NY 13212-4275

Mailing Address6846 Buckley RdNorth Syracuse, NY 13212-4275 · (315) 410-6400 · Fax (315) 410-6410

Phone(315) 410-6400

Fax(315) 410-6410

Sole ProprietorNo

Enumeration DateFebruary 14, 2007

Last NPPES UpdateNovember 17, 2014

✔ NPI 1205979812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F300531

6846 BUCKLEY RD, North Syracuse, NY 13212

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Other Identifiers 2

Medicare PINJ400162315NY

Medicaid01969819NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Wagner Np 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 13212 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 13

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

XUEMEI YAO NP

Nurse Practitioner (Family)

6846 BUCKLEY RD
NORTH SYRACUSE, NY 13212

Onondaga County (315) 410-6400

JAIMIE W NEWMAN PA

Physician Assistant

6846 BUCKLEY RD
NORTH SYRACUSE, NY 13212

Onondaga County (315) 410-6400

PAIGE GORDON PHYSICIAN ASSISTANT

Physician Assistant

6846 BUCKLEY RD
NORTH SYRACUSE, NY 13212

Onondaga County (315) 410-6400

DR. SALIL GUPTA M.D.

Internal Medicine (Nephrology)

6846 BUCKLEY RD
NORTH SYRACUSE, NY 13212

Onondaga County (315) 410-6400

MS. ANITA JOY ANP

Nurse Practitioner (Adult Health)

6846 BUCKLEY RD
NORTH SYRACUSE, NY 13212

Onondaga County (315) 410-6400

VICTORIA GRACE BARANEK FNP, RN, BSN

Nurse Practitioner (Family)

6846 BUCKLEY RD
NORTH SYRACUSE, NY 13212

Onondaga County (315) 410-6400

MRS. SUSAN B GREEN RD, MPH, CDN

Dietitian, Registered (Nutrition, Renal)

6846 BUCKLEY RD
N SYRACUSE, NY 13212

Onondaga County (315) 410-6400

YUHAS NUTRITION, PLLC

Clinic/Center (Health Service)

6846 BUCKLEY RD
NORTH SYRACUSE, NY 13212

Onondaga County (315) 410-6400

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 Susan Wagner's NPI number?

The NPI number for Susan Wagner is 1205979812. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Susan Wagner located?

Susan Wagner practices at 6846 Buckley Rd, North Syracuse, NY 13212. The listed phone number is (315) 410-6400.

What is Susan Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Wagner was last updated on November 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.