SAMANTHA LOUISE WAGNER M.D.
NPI 1528595394
Psychiatry & Neurology - Psychiatry in Indianapolis, IN

Q: What is Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1528595394. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wagner was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2023, May 11, 2017 (2 updates tracked since 2017).

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About Samantha Louise Wagner M.d. NPPES

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

SAMANTHA LOUISE WAGNER M.D. (NPI 1528595394) is an individual psychiatry provider in Indianapolis, Indiana, licensed in Indiana (01087648A) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2017).

NPPES Registry Identity

NPI1528595394

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameSAMANTHA LOUISE WAGNERCredential: M.D.

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address705 Riley Hospital DrIndianapolis, IN 46202-5109 · (317) 944-4034

Phone(317) 944-4034

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2017

Enumeration DateMay 11, 2017

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1528595394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IN · 01087648A

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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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 and accepts Medicare assignment

Samantha Louise Wagner M.d. 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 ID5597033019

PECOS Enrollment IDI20230809002992

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 46202 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

$161.76 typical visit price

range $53.07 – $161.76

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

Most-billed visit code 99205

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.

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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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)