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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 15228 W Fond Du Lac AveMilwaukee, WI 53216 · Phone (414) 871-9111
Location 23900 W Brown Deer Rd Ste 200Milwaukee, WI 53209 · Phone (414) 540-2170 · Fax (414) 540-2171
Location 38800 Washington Ave Ste 100Mount Pleasant, WI 53406-3705 · Phone (262) 633-3591 · Fax (262) 633-2619

Other Identifiers 2

Medicaid100084556WI
Medicaid1407270465WI

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Aurora Medical Group, Inc.
47 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461

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.

ADRIENNE K BOHN PA-C
Physician Assistant
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 720-8200
MR. JEFFREY SCOTT RYAN LPC,CSAC
Counselor (Professional)
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 456-2030
LORI A MCGINNIS PT
Physical Therapist
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 303-5021
JOSHUA ALAN LCSW
Social Worker (Clinical)
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 720-8200
NOREEN ELLEN ROSE NP
Nurse Practitioner (Psychiatric/Mental Health)
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 456-2023
ASHLEY K OTTMAN NP
Nurse Practitioner
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 720-8200
J MICHAEL HELF PA
Physician Assistant
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 720-8200
JESSICA I BEYER TRINKNER PT
Physical Therapist
1136 WESTOWNE DR
NEENAH, WI 54956
Winnebago County (920) 729-9681

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 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.

Where is Lisa Wagner located?

Lisa Wagner practices at 1136 Westowne Dr, Neenah, WI 54956. The listed phone number is (920) 456-2030.

What is Lisa Wagner's specialty?

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

Is Lisa Wagner enrolled in Medicare?

Yes. Lisa Wagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wagner reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, 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 Lisa Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Lisa 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 Lisa Wagner was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.