LISA WAGNER MSE
NPI 1407270465
Counselor - Professional in Neenah, WI

Q: What is Lisa Wagner's NPI number?

The NPI number for Lisa Wagner is 1407270465. It was assigned to this individual provider in the NPPES registry on February 12, 2014.

Q: What is Lisa Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wagner was last updated on July 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 12, 2014PECOS Enrolled

1136 WESTOWNE DR, NEENAH, WI 54956(920) 456-2030 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2024, Jul 24, 2023, Jun 25, 2021 and 2 more (5 updates tracked since 2018).

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About Lisa Wagner Mse NPPES

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

LISA WAGNER MSE (NPI 1407270465) is an individual professional provider in Neenah, Wisconsin, licensed in Wisconsin (7208) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1407270465

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISA WAGNERCredential: MSE

Location Address1136 WESTOWNE DRNeenah, WI 54956-2175

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (920) 456-2030

Phone(920) 456-2030

Sole ProprietorNo

Enumeration DateFebruary 12, 2014

Last NPPES UpdateJuly 5, 20245 updates tracked since enumeration

NPPES CertifiedJuly 5, 2024

✔ NPI 1407270465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in WI · 7208✔ Licensed in WI · 7208-125

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 7208 (WI)

1136 WESTOWNE DR, Neenah, WI 54956

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Secondary Practice Locations 3

Location 15228 W Fond Du Lac AveMilwaukee, WI 53216 · Phone (414) 871-9111

Location 28800 Washington Ave Ste 100Mount Pleasant, WI 53406-3705 · Phone (262) 633-3591 · Fax (262) 633-2619

Location 33900 W Brown Deer Rd Ste 200Milwaukee, WI 53209 · Phone (414) 540-2170 · Fax (414) 540-2171

Other Identifiers 2

Medicaid100084556WI

Medicaid1407270465WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Wagner Mse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

ADRIENNE K BOHN PA-C

Physician Assistant