MRS. LYNNETTE YVONNE WAGNER LICSW
NPI 1295992907
Social Worker - Clinical in Brainerd, MN

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment
18101 HARTLEY DR, BRAINERD, MN 56401(218) 828-4611(218) 828-4611 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lynnette Yvonne Wagner Licsw NPPES

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

MRS. LYNNETTE YVONNE WAGNER LICSW (NPI 1295992907) is an individual clinical provider in Brainerd, Minnesota and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295992907
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LYNNETTE YVONNE WAGNERCredential: LICSW
Location Address18101 HARTLEY DRBrainerd, MN 56401-7915
Mailing Address18101 Hartley DrBrainerd, MN 56401-7915 · (218) 828-4611 · Fax (218) 828-4611
Fax(218) 828-4611
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 20, 2008
Last NPPES UpdateOctober 4, 2017
NPI 1295992907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

18101 HARTLEY DR, Brainerd, MN 56401

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

Mrs. Lynnette Yvonne Wagner Licsw 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 ID2062585235
PECOS Enrollment IDI20080721000785
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 56401 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 Lynnette Wagner's NPI number?

The NPI number for Lynnette Wagner is 1295992907. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Lynnette Wagner located?

Lynnette Wagner practices at 18101 Hartley Dr, Brainerd, MN 56401. The listed phone number is (218) 828-4611.

What is Lynnette Wagner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Lynnette Wagner enrolled in Medicare?

Yes. Lynnette 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.

When was this NPI record last updated?

The NPPES record for Lynnette Wagner was last updated on October 4, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.