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MS. KRISTEN LARAMIE WAGONER NP
NPI 1407104060
Nurse Practitioner in Wilmington, MA

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
500 SALEM ST, WILMINGTON, MA 01887(978) 988-6000(978) 657-4169 Get Directions Write a Review

NPPES record last updated: June 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kristen Laramie Wagoner Np NPPES

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

MS. KRISTEN LARAMIE WAGONER NP (NPI 1407104060) is an individual nurse practitioner in Wilmington, Massachusetts, licensed in Massachusetts (2270616) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1407104060
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KRISTEN LARAMIE WAGONERCredential: NP
Location Address500 SALEM STWilmington, MA 01887-1200
Mailing AddressPo Box 760Winchester, MA 01890-4260 · (781) 756-7273 · Fax (781) 721-0725
Phone(978) 988-6000
Fax(978) 657-4169
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 29, 2012
Last NPPES UpdateJune 10, 2016
✔ NPI 1407104060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 2270616
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.
500 SALEM ST, Wilmington, MA 01887
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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.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. Kristen Laramie Wagoner Np 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 ID6406008697
PECOS Enrollment IDI20121217000106
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
94 services93 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01887 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

MARK A MACKLIS M.D.
Obstetrics & Gynecology
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6240
COURTNEY KING AGNP-C
Nurse Practitioner (Primary Care)
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 664-1990
PAMELA JEAN COTE R.D.,C.D.E.,L.D.
Dietitian, Registered
500 SALEM ST, WINCHESTER HOSPITAL FAMILY MEDICAL CENTER
WILMINGTON, MA 01887
Middlesex County (978) 988-6265
SANDY STEPHENS MD
Pediatrics
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6209
MRS. GAYATHRY SOORIYAKUMAR NENE D.O
Pediatrics
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6200
MELISSA MAZZINI ZORN M.D.
Internal Medicine
500 SALEM ST, WOBURN MEDICAL ASSOCIATES PC
WILMINGTON, MA 01887
Middlesex County (978) 988-9255
MAREN HENNIGAN PUDER FNP
Nurse Practitioner (Family)
500 SALEM ST
WILMINGTON, MA 01887
Middlesex County (978) 988-6000
SARA MARIE BARNES AU.D.
Audiologist-Hearing Aid Fitter
500 SALEM ST, ROUTE 62
WILMINGTON, MA 01887
Middlesex County (978) 988-1999

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 Kristen Wagoner's NPI number?

The NPI number for Kristen Wagoner is 1407104060. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Kristen Wagoner located?

Kristen Wagoner practices at 500 Salem St, Wilmington, MA 01887. The listed phone number is (978) 988-6000.

What is Kristen Wagoner's specialty?

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

Is Kristen Wagoner enrolled in Medicare?

Yes. Kristen Wagoner 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 Kristen Wagoner accept?

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

Is Kristen Wagoner affiliated with any hospitals?

According to CMS data, Kristen Wagoner is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Wagoner was last updated on June 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.