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PATTI WAGNER LPC
NPI 1396255774
Counselor - Mental Health in Waterford, WI

Active since October 11, 2017PECOS EnrolledAccepts Medicare Assignment
1701 SHARP RD, WATERFORD, WI 53185(920) 531-2662 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2024, Apr 16, 2024, Oct 11, 2017 (3 updates tracked since 2017).

About Patti Wagner Lpc NPPES

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

PATTI WAGNER LPC (NPI 1396255774) is an individual mental health provider in Waterford, Wisconsin, licensed in Wisconsin (5837-125) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396255774
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePATTI WAGNERCredential: LPC
Location Address1701 SHARP RDWaterford, WI 53185-5214
Mailing AddressE7475 Rawhide RdNew London, WI 54961-9025
Phone(920) 531-2662
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 11, 2017
Last NPPES UpdateDecember 31, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1396255774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 5837-125
1701 SHARP RD, Waterford, WI 53185
Open in Google Maps ↗

Other Names 1

Former Name (1)Patti A Benkowski

Accepted Insurance

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

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

Patti Wagner Lpc 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 ID3870035694
PECOS Enrollment IDI20240607003371
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 Reassignment

Medicare enrollment records show Patti Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lakeview Care Partners, Inc.
Same address
Community Based Residential Treatment Facility, Mental Illness
1701 SHARP RD
Waterford, WI 53185
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
NPI 1083924732 (262) 534-7297

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

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.

LAKEVIEW NEUROREHAB CENTER MIDWEST, INC.
Ambulance (Land Transport)
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297
LAKEVIEW NEUROREHAB CENTER MIDWEST, INC
Rehabilitation Unit
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297
DAWN SHUDA PT
Physical Therapist
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297
LAKEVIEW CARE PARTNERS, INC.
Community Based Residential Treatment Facility, Mental Illness
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297
MUSTANSIR MAJEED MD SC
Family Medicine
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297
KAYLA MALSCH MS,SLP-CF
Speech-Language Pathologist
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297
CHRISTINE FREGIEN PTA
Physical Therapy Assistant
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297
ROSEMARY PALMER OTR
Occupational Therapist
1701 SHARP RD
WATERFORD, WI 53185
Racine County (262) 534-7297

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 Patti Wagner's NPI number?

The NPI number for Patti Wagner is 1396255774. It was assigned to this individual provider in the NPPES registry on October 11, 2017. The provider is also known as Patti A Benkowski.

Where is Patti Wagner located?

Patti Wagner practices at 1701 Sharp Rd, Waterford, WI 53185. The listed phone number is (920) 531-2662.

What is Patti Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Patti Wagner enrolled in Medicare?

Yes. Patti 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.

Which organization bills Medicare for Patti Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patti Wagner reassigns Medicare benefits to Lakeview Care Partners, Inc. (Waterford, WI). The 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 Patti Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patti Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield list Patti 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.

When was this NPI record last updated?

The NPPES record for Patti Wagner was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.