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MS. MELISSA SUE WAGNER ACNP
NPI 1366763708
Nurse Practitioner in Bloomington, MN

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment
8100 NORTHLAND DR, BLOOMINGTON, MN 55431(952) 831-8742 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Melissa Sue Wagner Acnp NPPES

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

MS. MELISSA SUE WAGNER ACNP (NPI 1366763708) is an individual nurse practitioner in Bloomington, Minnesota, licensed in Minnesota (3805) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1366763708
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MELISSA SUE WAGNERCredential: ACNP
Location Address8100 NORTHLAND DRBloomington, MN 55431-4800
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 831-8742
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 21, 2010
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1366763708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 3805
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 2010012196 (MO)
8100 NORTHLAND DR, Bloomington, MN 55431
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Secondary Practice Location 1

Location 1400 S Kingshighway BlvdSaint Louis, MO 63110-1014 · Phone (314) 362-9123 · Fax (314) 747-3388

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Ms. Melissa Sue Wagner Acnp 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 ID8022205145
PECOS Enrollment IDI20150522000815
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55431 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 20

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

NICOLE BREUER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KIM M WATERBURY MS, OTRL, CHT
Occupational Therapist
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
JOSHUA VEENSTRA MD
Orthopaedic Surgery
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
MS. NANCY J CALLINAN OT
Occupational Therapist (Hand)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
KELSEY GLEICH ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742
TRIA ORTHOPAEDIC CENTER LLC
Clinic/Center (Ambulatory Surgical)
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431
Hennepin County (952) 831-8742
CHRISTOPHER M. WALKER ATC
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 806-5745
GARRISON GLENN RICE DO
Family Medicine (Sports Medicine)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Hennepin County (952) 831-8742

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 Melissa Wagner's NPI number?

The NPI number for Melissa Wagner is 1366763708. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Melissa Wagner located?

Melissa Wagner practices at 8100 Northland Dr, Bloomington, MN 55431. The listed phone number is (952) 831-8742.

What is Melissa Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Wagner enrolled in Medicare?

Yes. Melissa 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.

What insurance does Melissa Wagner accept?

Health plans from HealthPartners and Medica list Melissa Wagner 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.

Is Melissa Wagner affiliated with any hospitals?

According to CMS data, Melissa Wagner is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Wagner was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.