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DR. TRACIE DENIE JOHNSON-WAGNER PMHNP-BC
NPI 1578064382
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since February 27, 2018PECOS Enrolled
7330 N 16TH ST STE C115, PHOENIX, AZ 85020(646) 941-7645(929) 596-7897 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Oct 25, 2023, Jun 23, 2023 and 2 more (5 updates tracked since 2018).

About Dr. Tracie Denie Johnson-wagner Pmhnp-bc NPPES

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

DR. TRACIE DENIE JOHNSON-WAGNER PMHNP-BC (NPI 1578064382) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (AP11024) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578064382
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. TRACIE DENIE JOHNSON-WAGNERCredential: PMHNP-BC
Location Address7330 N 16TH ST STE C115Phoenix, AZ 85020-8209
Mailing Address7330 N 16th St Ste C115Phoenix, AZ 85020-8209
Phone(646) 941-7645
Fax(929) 596-7897
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
Last NPPES UpdateFebruary 23, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1578064382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in AZ · AP11024✔ Licensed in CO · C-RXN.0002422-C-NP
7330 N 16TH ST STE C115, Phoenix, AZ 85020
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Providence Health Plan 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 (PECOS)

Dr. Tracie Denie Johnson-wagner Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85020 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 4

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

BRENNA GONZALES LPC
Counselor (Professional)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020
Maricopa County (602) 935-7889
ECHOES AND EMBERS THERAPY
Clinic/Center (Adult Mental Health)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020
Maricopa County (480) 296-4214
KAYLA BYRD MC, LPC
Counselor (Mental Health)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020
Maricopa County (727) 753-8145
JENNA MUNIZ LPC
Counselor (Mental Health)
7330 N 16TH ST STE C115
PHOENIX, AZ 85020
Maricopa County (602) 529-4774

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 Tracie Johnson-wagner's NPI number?

The NPI number for Tracie Johnson-wagner is 1578064382. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Tracie Johnson-wagner located?

Tracie Johnson-wagner practices at 7330 N 16th St Ste C115, Phoenix, AZ 85020. The listed phone number is (646) 941-7645.

What is Tracie Johnson-wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tracie Johnson-wagner enrolled in Medicare?

Yes. Tracie Johnson-wagner is registered in the Medicare PECOS enrollment system.

What insurance does Tracie Johnson-wagner accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Tracie Johnson-wagner 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.

When was this NPI record last updated?

The NPPES record for Tracie Johnson-wagner was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.