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SHANE L WAGNER MHPP
NPI 1548413925
Case Manager/Care Coordinator in Fort Smith, AR

Active since October 29, 2008
3111 S 70TH ST, FORT SMITH, AR 72903(479) 452-6650(479) 452-5847 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Shane L Wagner Mhpp NPPES

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

SHANE L WAGNER MHPP (NPI 1548413925) is an individual case manager/care coordinator provider in Fort Smith, Arkansas and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1548413925
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameSHANE L WAGNERCredential: MHPP
Location Address3111 S 70TH STFort Smith, AR 72903-5017
Mailing Address3111 S 70th StFort Smith, AR 72903-5017 · (479) 452-6650 · Fax (479) 452-5847
Phone(479) 452-6650
Fax(479) 452-5847
Sole ProprietorNo
Enumeration DateOctober 29, 2008
Last NPPES UpdateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1548413925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
3111 S 70TH ST, Fort Smith, AR 72903
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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.

KAREN MCGREW LPN
Licensed Practical Nurse
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
STAR HARBOTTLE LAC
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JOHN AWBREY
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JENEFER JUAREZ
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
HAYLIE J WILSON
Case Manager/Care Coordinator
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
JOHN HOCKADAY
Peer Specialist
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
DR. KRISTEN W ECKELHOFF PSYD
Psychologist (Clinical)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650
MS. DINORA MORALES REYES LPC
Counselor (Mental Health)
3111 S 70TH ST
FORT SMITH, AR 72903
Sebastian County (479) 452-6650

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 Shane Wagner's NPI number?

The NPI number for Shane Wagner is 1548413925. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Where is Shane Wagner located?

Shane Wagner practices at 3111 S 70th St, Fort Smith, AR 72903. The listed phone number is (479) 452-6650.

What is Shane Wagner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shane Wagner was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.