GABRIELLE WAGNER
NPI 1639893449
Nurse Practitioner - Family in Philadelphia, PA
About Gabrielle Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLE WAGNER (NPI 1639893449) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025758) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Gabrielle Wagner 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 Reassignment
Medicare enrollment records show Gabrielle Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 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.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAChester County Hospital
Acute Care Hospitals · West Chester, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
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 Gabrielle Wagner's NPI number?
The NPI number for Gabrielle Wagner is 1639893449. It was assigned to this individual provider in the NPPES registry on September 27, 2022.
Where is Gabrielle Wagner located?
Gabrielle Wagner practices at 800 Walnut St Fl 20, Philadelphia, PA 19107. The listed phone number is (215) 829-8455.
What is Gabrielle Wagner's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gabrielle Wagner enrolled in Medicare?
Yes. Gabrielle 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 organization bills Medicare for Gabrielle Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gabrielle Wagner reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The 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 Gabrielle Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gabrielle Wagner affiliated with any hospitals?
According to CMS data, Gabrielle Wagner is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital and Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for Gabrielle Wagner was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gabrielle Wagner · NPI 1639893449
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 27, 2022.
## Identity
- **NPI:** 1639893449 (Entity type: Individual)
- **Enumerated:** September 27, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP025758 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WALNUT ST FL 20, Philadelphia, PA 19107-5176
- **Phone:** (215) 829-8455
## 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:** University Of Penn-Medical Group (NPI 1669860854, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 27, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1639893449) · Data from the CMS NPPES public registry.