BETTY J WAGNER NP
NPI 1619997731
Nurse Practitioner in Indianapolis, IN

Q: What is Betty Wagner's NPI number?

The NPI number for Betty Wagner is 1619997731. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Betty Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Betty Wagner was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 20, 2006PECOS Enrolled

6910 HILLSDALE CT, INDIANAPOLIS, IN 46250(317) 841-6552(317) 841-6160 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2017, Jun 6, 2017 (2 updates tracked since 2017).

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About Betty J Wagner Np NPPES

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

BETTY J WAGNER NP (NPI 1619997731) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71000881A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619997731

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBETTY J WAGNERCredential: NP

Location Address6910 HILLSDALE CTIndianapolis, IN 46250-2040

Mailing Address10215 S 250 WPendleton, IN 46064-8760 · (317) 339-6661 · Fax (765) 778-0314

Phone(317) 841-6552

Fax(317) 841-6160

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateJune 14, 20172 updates tracked since enumeration

✔ NPI 1619997731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71000881A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 71000881A (IN)

6910 HILLSDALE CT, Indianapolis, IN 46250

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Other Identifiers 6

Medicare PIN214210FIN

Medicaid200944340IN

Medicare UPIN221470FIN

Medicare PIN214230EIN

Medicare UPINQ60282IN

Medicare PIN214180FIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Betty J Wagner Np 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 46250 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 15

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

TAMMY L POLIT DO

Family Medicine