LISA MARIE WAGNER APN NP-C
NPI 1346754249
Nurse Practitioner - Family in Basalt, CO

Q: What is Lisa Wagner's NPI number?

The NPI number for Lisa Wagner is 1346754249. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Q: What is Lisa Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Wagner was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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, 2017

249 KODIAK DR UNIT 201, BASALT, CO 81621(970) 618-8796(970) 645-3168 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Jun 12, 2023, Feb 21, 2020 and 1 more (4 updates tracked since 2017).

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About Lisa Marie Wagner Apn Np-c NPPES

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

LISA MARIE WAGNER APN NP-C (NPI 1346754249) is an individual family provider in Basalt, Colorado, licensed in Colorado (APN.0993561-NP) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1346754249

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA MARIE WAGNERCredential: APN NP-C

Location Address249 KODIAK DR UNIT 201Basalt, CO 81621-8140

Mailing Address249 Kodiak Dr Unit 201Basalt, CO 81621-8140 · (970) 618-8796 · Fax (970) 645-3168

Phone(970) 618-8796

Fax(970) 645-3168

Sole ProprietorNo

Enumeration DateNovember 30, 2017

Last NPPES UpdateMay 7, 20254 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1346754249 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 CO · APN.0993561-NP

249 KODIAK DR UNIT 201, Basalt, CO 81621

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Other Providers at the Same Location NPPES

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

THRIVE ASPEN LLC

General Practice

249 KODIAK DR UNIT 201
BASALT, CO 81621

Eagle County (970) 618-8796

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 Lisa Wagner's NPI number?

The NPI number for Lisa Wagner is 1346754249. It was assigned to this individual provider in the NPPES registry on November 30, 2017.

Where is Lisa Wagner located?

Lisa Wagner practices at 249 Kodiak Dr Unit 201, Basalt, CO 81621. The listed phone number is (970) 618-8796.

What is Lisa Wagner's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Wagner was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.