AUDREY ANNE WAGNER MD
NPI 1619556388
Family Medicine in Madison, TN
About Audrey Anne Wagner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUDREY ANNE WAGNER MD (NPI 1619556388) is an individual family medicine provider in Madison, Tennessee, licensed in Tennessee (76333) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Audrey Anne Wagner Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Audrey Wagner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, TN 37115
- Reassigned Medicare billing, Tennessee enrollment
- 63 clinicians in this Medicare group
Franklin, TN 37064
- Reassigned Medicare billing, Tennessee enrollment
- 9 clinicians in this Medicare group
Fort Myers, FL 33916
- Reassigned Medicare billing, Florida enrollment
- 1,345 clinicians in this Medicare group
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 1,899 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lee Memorial Hospital
Acute Care Hospitals · Fort Myers, FLGulf Coast Medical Center Lee Health
Acute Care Hospitals · Fort Myers, FLCape Coral Hospital
Acute Care Hospitals · Cape Coral, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Audrey Wagner's NPI number?
The NPI number for Audrey Wagner is 1619556388. It was assigned to this individual provider in the NPPES registry on April 7, 2021.
Where is Audrey Wagner located?
Audrey Wagner practices at 601 W Due West Ave, Madison, TN 37115. The listed phone number is (615) 227-3000.
What is Audrey Wagner's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Audrey Wagner enrolled in Medicare?
Yes. Audrey Wagner 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.
Which organizations bill Medicare for Audrey Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Wagner reassigns Medicare benefits to 4 organizations: United Neighborhood Health Services, Inc (Madison, TN), Williamson Family Medicine, PLLC (Franklin, TN), Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Audrey Wagner accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Audrey 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.
Is Audrey Wagner affiliated with any hospitals?
According to CMS data, Audrey Wagner is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.
When was this NPI record last updated?
The NPPES record for Audrey Wagner was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Audrey Anne Wagner, MD · NPI 1619556388
Family Medicine physician in Madison, Tennessee. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1619556388 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 76333 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 601 W DUE WEST AVE, Madison, TN 37115-4423
- **Phone:** (615) 227-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): United Neighborhood Health Services, Inc (NPI 1760661714, Madison, TN); Williamson Family Medicine, PLLC (NPI 1134966906, Franklin, TN); Lee Memorial Health System (NPI 1447099973, Fort Myers, FL); Lee Health System Inc (NPI 1942058557, Fort Myers, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** February 20, 2026
- **Other identifiers:** Medicaid 115971600 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1619556388) · Data from the CMS NPPES public registry.