ABBY WAGSTROM NP-C
NPI 1366827552
Nurse Practitioner - Family in Woodbury, MN

Q: What is Abby Wagstrom's NPI number?

The NPI number for Abby Wagstrom is 1366827552. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Q: What is Abby Wagstrom'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 Abby Wagstrom was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 29, 2015PECOS EnrolledAccepts Medicare Assignment

1825 WOODWINDS DR, WOODBURY, MN 55125(651) 232-6700 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Sep 1, 2017, Jul 13, 2017 and 1 more (4 updates tracked since 2016).

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About Abby Wagstrom Np-c NPPES

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

ABBY WAGSTROM NP-C (NPI 1366827552) is an individual family provider in Woodbury, Minnesota, licensed in Minnesota (CNP 4037) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains a secondary practice location in Stillwater.

NPPES Registry Identity

NPI1366827552

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameABBY WAGSTROMCredential: NP-C

Location Address1825 WOODWINDS DRWoodbury, MN 55125-2202

Mailing Address1249 Kenilworth DrWoodbury, MN 55125-2329

Phone(651) 232-6700

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2015

Enumeration DateJuly 29, 2015

Last NPPES UpdateMarch 17, 20184 updates tracked since enumeration

✔ NPI 1366827552 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

Licenses✔ Licensed in MN · CNP 4037✔ Licensed in WI · 6516 - 33

1825 WOODWINDS DR, Woodbury, MN 55125

Open in Google Maps ↗

Secondary Practice Location 1

Location 11500 Curve Crest Blvd WStillwater, MN 55082-6040 · Phone (651) 439-1234

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abby Wagstrom Np-c 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 ID4688989346

PECOS Enrollment IDI20150811003678

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.

Medicare Billing Reassignments

Medicare enrollment records show Abby Wagstrom reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healtheast Medical Research Institute

Same address

Clinic/Center

1825 WOODWINDS DR
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
2,361 clinicians in this Medicare group

NPI 1831145705 (651) 232-6700

Group Health, Inc.

2.0 mi

General Practice

8325 SEASONS PKWY, STE 103
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1083769335 (651) 702-5848

Fairview Express Care

3.5 mi

Pediatric Rehabilitation Medicine

9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1700235587 (612) 273-1172

Fairview Clinics

5.0 mi

Clinic/Center

1414 MARYLAND AVE E
Saint Paul, MN 55106

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1124652557 (651) 772-3461

Fairview Health Services

13 mi

General Acute Care Hospital

2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1316008212 (612) 273-7838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

68 services52 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

64 services51 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

33 services31 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

32 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services24 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

25 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

21 services20 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

20 services19 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

14 services11 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

14 services11 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

13 services12 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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.

KRISTA CLEARY CNM

Advanced Practice Midwife

1825 WOODWINDS DR
WOODBURY, MN 55125

Washington County (651) 232-6700

MRS. JENNIFER LYNN BELL D.P.T

Physical Therapist

1825 WOODWINDS DR, SUITE 100
WOODBURY, MN 55125

Washington County (651) 232-0496

ANDREW MEYER PT, DPT

Physical Therapist

1825 WOODWINDS DR
WOODBURY, MN 55125

Washington County (651) 232-6767

MS. EMILY HOPE HENRICH DPT, OCS

Physical Therapist

1825 WOODWINDS DR, #100
WOODBURY, MN 55125

Washington County (651) 232-6852

HEIDI GOEDERS DNP, RN, CNP

Nurse Practitioner (Pediatrics)

1825 WOODWINDS DR
WOODBURY, MN 55125

Washington County (651) 232-6700

STEVEN PIERCE DPT

Physical Therapist

1825 WOODWINDS DR
WOODBURY, MN 55125

Washington County (651) 232-6700

BREANNA BATDORF MSAT

Specialist/Technologist (Athletic Trainer)

1825 WOODWINDS DR
WOODBURY, MN 55125

Washington County (651) 232-6700

ALLISON MARIE MORNING NP-C

Nurse Practitioner (Family)

1825 WOODWINDS DR
WOODBURY, MN 55125

Washington County (651) 232-6700

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 Abby Wagstrom's NPI number?

The NPI number for Abby Wagstrom is 1366827552. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Abby Wagstrom located?

Abby Wagstrom practices at 1825 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 232-6700.

What is Abby Wagstrom's specialty?

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

Is Abby Wagstrom enrolled in Medicare?

Yes. Abby Wagstrom 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.

Which organizations bill Medicare for Abby Wagstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abby Wagstrom reassigns Medicare benefits to 5 organizations: Healtheast Medical Research Institute (Woodbury, MN), Group Health, Inc. (Woodbury, MN), Fairview Express Care (Woodbury, MN), Fairview Clinics (Saint Paul, MN) and Fairview Health Services (Minneapolis, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abby Wagstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abby Wagstrom affiliated with any hospitals?

According to CMS data, Abby Wagstrom is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Abby Wagstrom was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.