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PHYLLIS A. WAGNER ARNP
NPI 1609157569
Nurse Practitioner - Family in Davie, FL

Active since September 06, 2011PECOS Enrolled
3390 SW 131ST TER, DAVIE, FL 33330(954) 424-0346(954) 370-4833 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis A. Wagner Arnp NPPES

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

PHYLLIS A. WAGNER ARNP (NPI 1609157569) is an individual family provider in Davie, Florida, licensed in Florida (ARNP 670502) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609157569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLLIS A. WAGNERCredential: ARNP
Location Address3390 SW 131ST TERDavie, FL 33330-4618
Mailing Address3390 Sw 131st TerDavie, FL 33330-4618 · (954) 424-0346 · Fax (954) 370-4833
Phone(954) 424-0346
Fax(954) 370-4833
Sole ProprietorYes
Enumeration DateSeptember 6, 2011
✔ NPI 1609157569 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 FL · ARNP 670502
3390 SW 131ST TER, Davie, FL 33330
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phyllis A. Wagner Arnp 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 33330 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

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

THE WAGNER GROUP, INC.
Emergency Response System Companies
3390 SW 131ST TER
DAVIE, FL 33330
Broward County (954) 370-7989

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 Phyllis Wagner's NPI number?

The NPI number for Phyllis Wagner is 1609157569. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Phyllis Wagner located?

Phyllis Wagner practices at 3390 SW 131st Ter, Davie, FL 33330. The listed phone number is (954) 424-0346.

What is Phyllis Wagner's specialty?

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

Is Phyllis Wagner enrolled in Medicare?

Yes. Phyllis Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Wagner was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.