BLAIR WAGONER
NPI 1366220907
Nurse Practitioner - Psychiatric/Mental Health in Richmond, IN

Q: What is Blair Wagoner's NPI number?

The NPI number for Blair Wagoner is 1366220907. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Q: What is Blair Wagoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Blair Wagoner was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 15, 2023PECOS Enrolled

501 1/2 S 7TH ST., RM 1, RICHMOND, IN 47374(765) 935-5390 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Blair Wagoner NPPES

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

BLAIR WAGONER (NPI 1366220907) is an individual psychiatric/mental health provider in Richmond, Indiana, licensed in Indiana (71014313A) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366220907

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameBLAIR WAGONER

Location Address501 1/2 S 7TH ST., RM 1Richmond, IN 47374

Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928

Phone(765) 935-5390

Sole ProprietorNo

Enumeration DateSeptember 15, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1366220907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71014313A

501 1/2 S 7TH ST., RM 1, Richmond, IN 47374

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blair Wagoner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 47374 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 Blair Wagoner's NPI number?

The NPI number for Blair Wagoner is 1366220907. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Blair Wagoner located?

Blair Wagoner practices at 501 1/2 S 7th St., Rm 1, Richmond, IN 47374. The listed phone number is (765) 935-5390.

What is Blair Wagoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blair Wagoner enrolled in Medicare?

Yes. Blair Wagoner is registered in the Medicare PECOS enrollment system.

What insurance does Blair Wagoner accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Blair Wagoner 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 Blair Wagoner was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.