DEBORAH BANAZAK WAGENAAR D.O.
NPI 1255315628
Psychiatry & Neurology - Geriatric Psychiatry in East Lansing, MI

Q: What is Deborah Wagenaar's NPI number?

The NPI number for Deborah Wagenaar is 1255315628. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as Deborah Anne Banazak D.O..

Q: What is Deborah Wagenaar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Q: When was this NPI record last updated?

The NPPES record for Deborah Wagenaar was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 30, 2005PECOS EnrolledAccepts Medicare Assignment

909 WILSON RD RM B119, EAST LANSING, MI 48824(517) 353-3070(517) 884-1817 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2021, Jun 15, 2016 (2 updates tracked since 2016).

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About Deborah Banazak Wagenaar D.o. NPPES

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

DEBORAH BANAZAK WAGENAAR D.O. (NPI 1255315628) is an individual geriatric psychiatry provider in East Lansing, Michigan, licensed in Michigan (5101008530) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Harbor Beach Community Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1983).

NPPES Registry Identity

NPI1255315628

Entity TypeIndividualFemale

Primary Taxonomy2084P0805X

Provider Legal NameDEBORAH BANAZAK WAGENAARCredential: D.O.

Location Address909 WILSON RD RM B119East Lansing, MI 48824-6410

Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 353-3070 · Fax (517) 884-1817

Phone(517) 353-3070

Fax(517) 884-1817

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1983

Enumeration DateNovember 30, 2005

Last NPPES UpdateJune 29, 20232 updates tracked since enumeration

NPPES CertifiedJune 29, 2023

✔ NPI 1255315628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0805X

License✔ Licensed in MI · 5101008530

Definition

Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 5101008530 (MI)

909 WILSON RD RM B119, East Lansing, MI 48824

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Other Names 1

Former Name (1)Deborah Anne Banazak D.o.

Other Identifiers 2

Medicaid1255315628MI

Medicaid3179331MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Deborah Banazak Wagenaar D.o. 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 ID5496811994

PECOS Enrollment IDI20090309000333

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.

Hospital Affiliations CMS Care Compare

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

Harbor Beach Community Hospital

Critical Access Hospitals · Harbor Beach, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231313

Location210 S First StHarbor Beach, MI 48441 · Huron County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48824 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Reported Quality Measures

Dementia: Cognitive Assessment

Percentage of patients, regardless of age, with a diagnosis of dementia for whom an assessment of cognition is performed and the results reviewed at least once within a 12-month period

5%20 patients1/55-star benchmark: 100%

Depression Utilization of the PHQ-9 Tool

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

Patients 4MonthsOfStart: 3% · 34 patients

11%36 patients

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

68%241 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

97%246 patients4/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

6%109 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 67% · 66 patients

65%66 patients3/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

99%109 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

18%109 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

28%109 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

CHRISTINE LARSEN SHAFER M.D.

Psychiatry & Neurology (Psychiatry)