MRS. CAROLYN WAGNER NP
NPI 1366419087
Nurse Practitioner - Family in Decatur, IL
NPI Status: Active since March 01, 2006
Contact Information
1770 E LAKE SHORE DR
SUITE 207
DECATUR, IL
ZIP 62521
Phone: (217) 429-9700
Fax: (217) 429-9702
- Individual
- Female
- Nurse Practitioner
- Family
About CAROLYN WAGNER
This page provides the complete NPI Profile along with additional information for Carolyn Wagner, a provider established in Decatur, Illinois with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1366419087 assigned on March 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 209-001389 (IL). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1366419087
- Provider Name
- MRS. CAROLYN WAGNER NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1770 E LAKE SHORE DR SUITE 207 DECATUR, IL 62521
- Location Phone
- (217) 429-9700
- Location Fax
- (217) 429-9702
- Mailing Address
- 1770 E LAKE SHORE DR SUITE 207 DECATUR, IL 62521
- Mailing Phone
- (217) 429-9700
- Mailing Fax
- (217) 429-9702
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-01-2006
- Last Update Date
- 03-10-2011
- Code Navigator
A nurse practitioner (NP) like Carolyn Wagner is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209-001389
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| K07753 | MEDICARE PIN (08) | ||
| S64860 | MEDICARE UPIN (02) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366419087, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DACATUR, IL 62521
DECATUR, IL 62521
DECATUR, IL 62521
DECATUR, IL 62521
DECATUR, IL 62521
DECATUR, IL 62521
DECATUR, IL 62521
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366419087, enumerated as an "individual" on March 01, 2006.
The provider is located at 1770 E LAKE SHORE DR SUITE 207 DECATUR, IL 62521 and the phone number is (217) 429-9700.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
