AUDREY ANNE WAGNER MD
NPI 1619556388
Family Medicine in Madison, TN

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
601 W DUE WEST AVE, MADISON, TN 37115(615) 227-3000 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Nov 11, 2022, Apr 7, 2021 (3 updates tracked since 2021).

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

NPI1619556388
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAUDREY ANNE WAGNERCredential: MD
Location Address601 W DUE WEST AVEMadison, TN 37115-4423
Mailing Address2711 Foster AveNashville, TN 37210-5307 · (573) 673-0000
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateFebruary 20, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
NPI 1619556388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TN · 76333 Licensed in FL · ME158286
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 W DUE WEST AVE, Madison, TN 37115

Secondary Practice Locations 3

Location 1617 S 8th StNashville, TN 37206-3819 · Phone (615) 227-3000
Location 28960 Colonial Center Dr Ste 300Fort Myers, FL 33905-7810 · Phone (239) 343-9470 · Fax (239) 343-9498
Location 32780 Cleveland Ave Ste 709Fort Myers, FL 33901-5857 · Phone (239) 343-2371

Other Identifiers 1

Medicaid115971600FL

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

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.

PECOS PAC ID7719354547
PECOS Enrollment IDI20221107002732
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services51 patients

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, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 13

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

Family Medicine
601 W DUE WEST AVE
MADISON, TN 37115
Family Medicine
601 W DUE WEST AVE
MADISON, TN 37115
Nurse Practitioner (Family)
601 W DUE WEST AVE
MADISON, TN 37115
Counselor (Professional)
601 W DUE WEST AVE
MADISON, TN 37115
Obstetrics & Gynecology
601 W DUE WEST AVE
MADISON, TN 37115
Nurse Practitioner (Family)
601 W DUE WEST AVE
MADISON, TN 37115
Nurse Practitioner (Women's Health)
601 W DUE WEST AVE
MADISON, TN 37115
Pediatrics
601 W DUE WEST AVE
MADISON, TN 37115

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.

What insurance does Audrey Wagner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 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 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.