MR. BRENTON PAUL WAGNER CNP
NPI 1326539578
Nurse Practitioner - Family in Garfield Heights, OH

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
12300 MCCRACKEN ROAD, GARFIELD HEIGHTS, OH 44125(216) 581-0500 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2022, May 23, 2018 (2 updates tracked since 2018).

About Mr. Brenton Paul Wagner Cnp NPPES

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

MR. BRENTON PAUL WAGNER CNP (NPI 1326539578) is an individual family provider in Garfield Heights, Ohio, licensed in Ohio (APRN.CNP.022596) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Marymount Hospital, and maintains a secondary practice location in Independence.

NPPES Registry Identity

NPI1326539578
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BRENTON PAUL WAGNERCredential: CNP
Location Address12300 MCCRACKEN ROADGarfield Heights, OH 44125
Mailing Address540 E Portage Trl Apt 310Cuyahoga Falls, OH 44221-2868 · (419) 961-4784
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2017
Enumeration DateMay 23, 2018
Last NPPES UpdateFebruary 21, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
NPI 1326539578 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 OH · APRN.CNP.022596
12300 MCCRACKEN ROAD, Garfield Heights, OH 44125

Secondary Practice Location 1

Location 14801 Acorn Dr Ste BIndependence, OH 44131-2566 · Phone (216) 662-5600 · Fax (216) 663-1474

Accepted 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

Mr. Brenton Paul Wagner Cnp 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 ID143576777
PECOS Enrollment IDI20180711003108
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.

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44125 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
2 suppliers22 claims22 services$14.70 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
4 suppliers38 claims38 services$66.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$28.94 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 7

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

Pathology (Anatomic Pathology & Clinical Pathology)
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125
Pathology (Anatomic Pathology & Clinical Pathology)
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125
Dietitian, Registered
12300 MCCRACKEN ROAD, DIABETES CENTER
GARFIELD HEIGHTS, OH 44125
Nurse Practitioner (Psychiatric/Mental Health)
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125
Psychiatry & Neurology (Psychiatry)
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125
General Acute Care Hospital
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125
Psychiatric Unit
12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326539578, enumerated as an "individual" on May 23, 2018.

The provider is located at 12300 MCCRACKEN ROAD GARFIELD HEIGHTS, OH 44125 and the phone number is (216) 581-0500.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: MedMutual and Oscar Insurance Corporation of Ohio. Please consult your insurance carrier or call the provider to verify.

Brenton Wagner is affiliated with: MARYMOUNT HOSPITAL.