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LOIS WAGLEY
NPI 1538530506
Nurse Practitioner - Family in Mishawaka, IN

Active since October 15, 2015PECOS EnrolledAccepts Medicare Assignment
420 W 4TH ST, MISHAWAKA, IN 46544(574) 307-7673(574) 307-7692 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2021, Mar 21, 2016, Mar 14, 2016 (3 updates tracked since 2016).

About Lois Wagley NPPES

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

LOIS WAGLEY (NPI 1538530506) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (71005871A) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538530506
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLOIS WAGLEY
Location Address420 W 4TH STMishawaka, IN 46544-1948
Mailing Address420 W 4th StMishawaka, IN 46544-1948 · (574) 307-7673 · Fax (574) 307-7692
Phone(574) 307-7673
Fax(574) 307-7692
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 15, 2015
Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1538530506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71005871A
420 W 4TH ST, Mishawaka, IN 46544
Open in Google Maps ↗

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

Lois Wagley 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 ID2466761861
PECOS Enrollment IDI20151027000225, I20180323001466
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

BROXTON THAYNE DAVIS PHARMD
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DR. MONICA A RIVERS PHARMD, MBA
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
JANA SCHENKEL CNM
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DALE DENNIS DEARDORFF M.D.
Family Medicine
420 W 4TH ST, SUITE 180
MISHAWAKA, IN 46544
St. Joseph County (574) 247-3456
JESSICA A GNOTH
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673
DANIEL J TRIEZENBERG MD
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (219) 462-7173
CHAYA KOLODNY FNP
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (888) 580-1060
MS. KRISTEN E BREE NP
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
St. Joseph County (574) 307-7673

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 Lois Wagley's NPI number?

The NPI number for Lois Wagley is 1538530506. It was assigned to this individual provider in the NPPES registry on October 15, 2015.

Where is Lois Wagley located?

Lois Wagley practices at 420 W 4th St, Mishawaka, IN 46544. The listed phone number is (574) 307-7673.

What is Lois Wagley's specialty?

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

Is Lois Wagley enrolled in Medicare?

Yes. Lois Wagley 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.

What insurance does Lois Wagley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Lois Wagley 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.

Is Lois Wagley affiliated with any hospitals?

According to CMS data, Lois Wagley is affiliated with Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Lois Wagley was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.