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MONTA WAGNER NP
NPI 1639101363
Nurse Practitioner - Family in Horseheads, NY

Active since July 06, 2006
3344 CHAMBERS RD STE 200, HORSEHEADS, NY 14845(607) 734-2264(607) 734-2932 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2021, Mar 17, 2018, Mar 2, 2018 (3 updates tracked since 2018).

About Monta Wagner Np NPPES

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

MONTA WAGNER NP (NPI 1639101363) is an individual family provider in Horseheads, New York, licensed in New York (330195) and active in the NPI registry since July 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639101363
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONTA WAGNERCredential: NP
Location Address3344 CHAMBERS RD STE 200Horseheads, NY 14845-1403
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (607) 734-2264 · Fax (708) 885-8585
Phone(607) 734-2264
Fax(607) 734-2932
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 3, 20213 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1639101363 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 NY · 330195
3344 CHAMBERS RD STE 200, Horseheads, NY 14845
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1254 E 1st StCorning, NY 14830-2925 · Phone (607) 937-5317 · Fax (607) 937-6254
Location 2302 Hoffman StElmira, NY 14905-2263 · Phone (607) 734-2264 · Fax (607) 767-0340

Other Identifiers 2

Medicaid01267821NY
Other161355553Business Tax Id

Other Providers at the Same Location NPPES 7

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

AMY L WHITE M.D.
Pediatrics
3344 CHAMBERS RD STE 200
HORSEHEADS, NY 14845
Chemung County (607) 734-2264
SOUTHERN TIER PEDIATRICS PC
Pediatrics
3344 CHAMBERS RD STE 200
HORSEHEADS, NY 14845
Chemung County (607) 734-2264
DR. TINA MARIE NICHOLS MD
Pediatrics
3344 CHAMBERS RD STE 200
HORSEHEADS, NY 14845
Chemung County (607) 734-2264
ASSERAI MARIE RICHARDSON NP
Pediatrics
3344 CHAMBERS RD STE 200
HORSEHEADS, NY 14845
Chemung County (607) 734-2264
JANICE RHODES NP
Nurse Practitioner (Family)
3344 CHAMBERS RD STE 200
HORSEHEADS, NY 14845
Chemung County (607) 734-2264
MR. JOHN R DOWLING PA-C
Physician Assistant
3344 CHAMBERS RD STE 200
HORSEHEADS, NY 14845
Chemung County (607) 795-5100
JAMES WAGNER OTD
Occupational Therapist
3344 CHAMBERS RD STE 200
HORSEHEADS, NY 14845
Chemung County (570) 265-6165

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 Monta Wagner's NPI number?

The NPI number for Monta Wagner is 1639101363. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Monta Wagner located?

Monta Wagner practices at 3344 Chambers Rd Ste 200, Horseheads, NY 14845. The listed phone number is (607) 734-2264.

What is Monta Wagner's specialty?

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

When was this NPI record last updated?

The NPPES record for Monta Wagner was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.