MRS. REBECCA ANNE WAGNER MSN RN PMHNP BC
NPI 1407612708
Nurse Practitioner - Psychiatric/Mental Health in Huntsville, AL

Active since February 23, 2024PECOS Enrolled
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802(256) 705-6444 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2025, Nov 4, 2025, Sep 17, 2025 (3 updates tracked since 2025).

About Mrs. Rebecca Anne Wagner Msn Rn Pmhnp Bc NPPES

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

MRS. REBECCA ANNE WAGNER MSN RN PMHNP BC (NPI 1407612708) is an individual psychiatric/mental health provider in Huntsville, Alabama, licensed in Alabama (2025063408) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407612708
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. REBECCA ANNE WAGNERCredential: MSN RN PMHNP BC
Location Address4040 MEMORIAL PKWY SWHuntsville, AL 35802-4364
Mailing Address4040 Memorial Pkwy SwHuntsville, AL 35802-4364 · (256) 533-1970
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 23, 2024
Last NPPES UpdateDecember 22, 20253 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
NPI 1407612708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AL · 2025063408
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-180194 (AL)
4040 MEMORIAL PKWY SW, Huntsville, AL 35802

Other Identifiers 1

Medicaid330000014AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Rebecca Anne Wagner Msn Rn Pmhnp Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072009166
PECOS Enrollment IDI20251227000497
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35802 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Registered Nurse
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Licensed Practical Nurse
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Registered Nurse
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Registered Nurse
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Psychiatry & Neurology (Psychiatry)
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Registered Nurse (General Practice)
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Social Worker (Clinical)
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802
Counselor
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802

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 Rebecca Wagner's NPI number?

The NPI number for Rebecca Wagner is 1407612708. It was assigned to this individual provider in the NPPES registry on February 23, 2024.

Where is Rebecca Wagner located?

Rebecca Wagner practices at 4040 Memorial Pkwy SW, Huntsville, AL 35802. The listed phone number is (256) 705-6444.

What is Rebecca Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rebecca Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Rebecca Wagner was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.