MR. ANTHONY MARK WAGNER FNP
NPI 1659436830
Nurse Practitioner - Family in Maryville, TN

Q: What is Anthony Wagner's NPI number?

The NPI number for Anthony Wagner is 1659436830. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Anthony Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anthony Wagner was last updated on May 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 27, 2006PECOS Enrolled

210 SIMMONS ST, MARYVILLE, TN 37801(865) 970-9800(865) 983-4518 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Anthony Mark Wagner Fnp NPPES

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

MR. ANTHONY MARK WAGNER FNP (NPI 1659436830) is an individual family provider in Maryville, Tennessee, licensed in Tennessee (11134) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659436830

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. ANTHONY MARK WAGNERCredential: FNP

Location Address210 SIMMONS STMaryville, TN 37801

Mailing Address1400 Centerpoint Blvd Ste 158Knoxville, TN 37932-1966 · (865) 374-5806 · Fax (865) 374-9004

Phone(865) 970-9800

Fax(865) 983-4518

Sole ProprietorNo

Enumeration DateDecember 27, 2006

Last NPPES UpdateMay 29, 2018

✔ NPI 1659436830 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

Licenses✔ Licensed in TN · 11134✔ Licensed in GA · RN129889 NP

210 SIMMONS ST, Maryville, TN 37801

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Other Identifiers 1

Medicaid1514002TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Anthony Mark Wagner Fnp 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 37801 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.

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