DR. NANCY WAGNER-WETZEL PSY.D.
NPI 1467495952
Psychologist - Clinical in Staten Island, NY

Q: What is Nancy Wagner-wetzel's NPI number?

The NPI number for Nancy Wagner-wetzel is 1467495952. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Nancy Wagner-wetzel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since June 13, 2006PECOS Enrolled

148 JACQUES AVE, STATEN ISLAND, NY 10306(917) 797-9441 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Nancy Wagner-wetzel Psy.d. NPPES

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

DR. NANCY WAGNER-WETZEL PSY.D. (NPI 1467495952) is an individual clinical provider in Staten Island, New York, licensed in New York (7876) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467495952

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NANCY WAGNER-WETZELCredential: PSY.D.

Location Address148 JACQUES AVEStaten Island, NY 10306-3028

Mailing Address81 Alan LoopStaten Island, NY 10304-4434 · (718) 816-7102 · Fax (718) 816-7102

Phone(917) 797-9441

Sole ProprietorYes

Enumeration DateJune 13, 2006

Last NPPES UpdateApril 19, 2012

✔ NPI 1467495952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 7876

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

148 JACQUES AVE, Staten Island, NY 10306

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Other Identifiers 3

Other680408NY · Ghi

Medicare ID-Type UnspecifiedVM3671NY

Medicaid00979424NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nancy Wagner-wetzel Psy.d. 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 Nancy Wagner-wetzel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Care Choices Ny Inc

7.2 mi

Federally Qualified Health Center (FQHC)

6209 16TH AVE
Brooklyn, NY 11204

Reassigned Medicare billing, New York enrollment
21 clinicians in this Medicare group

NPI 1770521270 (718) 234-0073

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 4

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

ADRIANNE HOROWITZ LCSW

Social Worker (Clinical)

148 JACQUES AVE
STATEN ISLAND, NY 10306

Richmond County (917) 327-4692

JOYCE A DALY LCSW

Social Worker (Clinical)

148 JACQUES AVE
STATEN ISLAND, NY 10306

Richmond County (718) 351-8728

CHRISTA DURKIN, LCSW, P.C.

Social Worker (Clinical)

148 JACQUES AVE
STATEN ISLAND, NY 10306

Richmond County (347) 538-2977

MRS. ELAINE AMBANDOS SMITH L.C.S.W.

Social Worker (Clinical)

148 JACQUES AVE
STATEN ISLAND, NY 10306

Richmond County (718) 351-8728

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 Nancy Wagner-wetzel's NPI number?

The NPI number for Nancy Wagner-wetzel is 1467495952. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Nancy Wagner-wetzel located?

Nancy Wagner-wetzel practices at 148 Jacques Ave, Staten Island, NY 10306. The listed phone number is (917) 797-9441.

What is Nancy Wagner-wetzel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nancy Wagner-wetzel enrolled in Medicare?

Yes. Nancy Wagner-wetzel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Wagner-wetzel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Wagner-wetzel reassigns Medicare benefits to Health Care Choices Ny Inc (Brooklyn, NY). 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 Nancy Wagner-wetzel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Wagner-wetzel was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.