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MICHELLE WAGNER L.M.H.C., L.C.P.C.
NPI 1467593962
Counselor - Mental Health in Princeville, IL

Active since February 09, 2007PECOS Enrolled
11424 N PARK RDG, PRINCEVILLE, IL 61559(309) 210-5887 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2026, Jul 14, 2021 (2 updates tracked since 2021).

About Michelle Wagner L.m.h.c., L.c.p.c. NPPES

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

MICHELLE WAGNER L.M.H.C., L.C.P.C. (NPI 1467593962) is an individual mental health provider in Princeville, Illinois, licensed in Iowa (00768) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467593962
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE WAGNERCredential: L.M.H.C., L.C.P.C.
Location Address11424 N PARK RDGPrinceville, IL 61559-9136
Mailing Address11424 N Park RdgPrinceville, IL 61559-9136 · (309) 210-5887
Phone(309) 210-5887
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1467593962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 00768
11424 N PARK RDG, Princeville, IL 61559
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Other Identifiers 1

Medicaid0074526IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, UnitedHealthcare, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Wagner L.m.h.c., L.c.p.c. 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 Michelle Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Health System
62 mi
Hospice Care, Community Based
2546 TECH DR
Bettendorf, IA 52722
  • Reassigned Medicare billing, Iowa enrollment
  • 300 clinicians in this Medicare group
NPI 1013968262 (563) 421-5400

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

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

COMPASS COUNSELING CENTER, LLC
Counselor (Mental Health)
11424 N PARK RDG
PRINCEVILLE, IL 61559
Peoria County (309) 210-5887

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 Michelle Wagner's NPI number?

The NPI number for Michelle Wagner is 1467593962. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Michelle Wagner located?

Michelle Wagner practices at 11424 N Park Rdg, Princeville, IL 61559. The listed phone number is (309) 210-5887.

What is Michelle Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michelle Wagner enrolled in Medicare?

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

Which organization bills Medicare for Michelle Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Wagner reassigns Medicare benefits to Genesis Health System (Bettendorf, IA). 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 Michelle Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Wagner accept?

Health plans from HealthPartners, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Michelle 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 Michelle Wagner was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.