SUSAN ELAINE WAGNER DDS
NPI 1417087982
Dentist - General Practice in Indianapolis, IN

Q: What is Susan Wagner's NPI number?

The NPI number for Susan Wagner is 1417087982. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Susan Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Susan Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 06, 2007PECOS Enrolled

8849 SHELBY ST, A-2, INDIANAPOLIS, IN 46227(317) 881-4000(317) 888-1762 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Susan Elaine Wagner Dds NPPES

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

SUSAN ELAINE WAGNER DDS (NPI 1417087982) is an individual general practice provider in Indianapolis, Indiana, licensed in Indiana (12008739) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417087982

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSUSAN ELAINE WAGNERCredential: DDS

Location Address8849 SHELBY ST, A-2Indianapolis, IN 46227-7508

Mailing Address8849 Shelby St, A-2Indianapolis, IN 46227-7508 · (317) 881-4000 · Fax (317) 888-1762

Phone(317) 881-4000

Fax(317) 888-1762

Sole ProprietorYes

Enumeration DateMarch 6, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417087982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12008739

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8849 SHELBY ST, Indianapolis, IN 46227

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Susan Elaine Wagner Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46227 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INSIGHT HEALTH CORP

Physiological Laboratory

8849 SHELBY ST, STE B1
INDIANAPOLIS, IN 46227

Marion County (317) 885-5200

ELLIS FAMILY ORTHODONTICS

Dentist (Orthodontics and Dentofacial Orthopedics)

8849 SHELBY ST
INDIANAPOLIS, IN 46227

Marion County (317) 881-1161

DR. DAVID LEWIS JUDY D.D.S., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

8849 SHELBY ST, STE A
INDIANAPOLIS, IN 46227

Marion County (317) 881-1161

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 Susan Wagner's NPI number?

The NPI number for Susan Wagner is 1417087982. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Susan Wagner located?

Susan Wagner practices at 8849 Shelby St A-2, Indianapolis, IN 46227. The listed phone number is (317) 881-4000.

What is Susan Wagner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Susan Wagner enrolled in Medicare?

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

What insurance does Susan Wagner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 8 other insurers list Susan 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 Susan Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.