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: July 19, 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
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

Accepted 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
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.

Family Medicine
420 W 4TH ST, SUITE 180
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST, SUITE 100
MISHAWAKA, IN 46544
Registered Nurse (Case Management)
420 W 4TH ST, SUITE 100-A
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538530506, enumerated as an "individual" on October 15, 2015.

The provider is located at 420 W 4TH ST MISHAWAKA, IN 46544 and the phone number is (574) 307-7673.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Lois Wagley is affiliated with: MEMORIAL HOSPITAL OF SOUTH BEND.