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DONNELLE I. WAGNER DNP
NPI 1225213812
Nurse Practitioner - Family in Fort Smith, AR

Active since January 02, 2008PECOS EnrolledAccepts Medicare Assignment
4620 ROGERS AVE, FORT SMITH, AR 72903(479) 384-5380(479) 384-5382 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Donnelle I. Wagner Dnp NPPES

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

DONNELLE I. WAGNER DNP (NPI 1225213812) is an individual family provider in Fort Smith, Arkansas, licensed in Arkansas (ATP000123) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Smith, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225213812
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONNELLE I. WAGNERCredential: DNP
Location Address4620 ROGERS AVEFort Smith, AR 72903-3149
Mailing Address4620 Rogers AveFort Smith, AR 72903-3149 · (479) 384-5380 · Fax (479) 384-5382
Phone(479) 384-5380
Fax(479) 384-5382
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 2, 2008
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1225213812 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
License✔ Licensed in AR · ATP000123
4620 ROGERS AVE, Fort Smith, AR 72903
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Secondary Practice Location 1

Location 13700 Cliff DrFort Smith, AR 72903-5954 · Phone (479) 709-7260 · Fax (479) 709-7261

Other Identifiers 2

Medicaid168334758AR
Medicaid200130940AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Donnelle I. Wagner Dnp 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 ID7214008036
PECOS Enrollment IDI20080620000471
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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
71 services35 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
47 services46 patients
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.
35 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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.
27 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Donnelle Wagner's NPI number?

The NPI number for Donnelle Wagner is 1225213812. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Donnelle Wagner located?

Donnelle Wagner practices at 4620 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 384-5380.

What is Donnelle Wagner's specialty?

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

Is Donnelle Wagner enrolled in Medicare?

Yes. Donnelle 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 Donnelle Wagner accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Donnelle 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 Donnelle Wagner was last updated on September 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.