TERESA LOUISE WAGNER NP
NPI 1487375713
Nurse Practitioner - Family in Lehigh Acres, FL

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
1350 LEE BLVD, LEHIGH ACRES, FL 33936(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Nov 10, 2022, Sep 6, 2022 (3 updates tracked since 2022).

About Teresa Louise Wagner Np NPPES

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

TERESA LOUISE WAGNER NP (NPI 1487375713) is an individual family provider in Lehigh Acres, Florida, licensed in Florida (APRN11021462) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487375713
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA LOUISE WAGNERCredential: NP
Location Address1350 LEE BLVDLehigh Acres, FL 33936-4846
Mailing Address1350 Lee BlvdLehigh Acres, FL 33936-4846
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 6, 2022
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1487375713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11021462
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11021462 (FL)
1350 LEE BLVD, Lehigh Acres, FL 33936

Other Identifiers 1

Medicaid115849700FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Teresa Louise Wagner Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810363439
PECOS Enrollment IDI20221021001267
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33936 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1350 LEE BLVD
LEHIGH ACRES, FL 33936
Pharmacist
1350 LEE BLVD
LEHIGH ACRES, FL 33936
Pharmacist
1350 LEE BLVD
LEHIGH ACRES, FL 33936
Pharmacist
1350 LEE BLVD
LEHIGH ACRES, FL 33936
Pharmacist
1350 LEE BLVD
LEHIGH ACRES, FL 33936
Registered Nurse
1350 LEE BLVD
LEHIGH ACRES, FL 33936
Pharmacist
1350 LEE BLVD
LEHIGH ACRES, FL 33936
Pharmacist
1350 LEE BLVD
LEHIGH ACRES, FL 33936

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 Teresa Wagner's NPI number?

The NPI number for Teresa Wagner is 1487375713. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Teresa Wagner located?

Teresa Wagner practices at 1350 Lee Blvd, Lehigh Acres, FL 33936. The listed phone number is (866) 389-2727.

What is Teresa Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Teresa Wagner enrolled in Medicare?

Yes. Teresa Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Teresa Wagner was last updated on March 6, 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.