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STEPHANIE WAGNER
NPI 1659879823
Counselor - Mental Health in Orchard Park, NY

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
3671 SOUTHWESTERN BLVD STE 209, ORCHARD PARK, NY 14127(716) 895-7207 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Wagner NPPES

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

STEPHANIE WAGNER (NPI 1659879823) is an individual mental health provider in Orchard Park, New York and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659879823
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTEPHANIE WAGNER
Location Address3671 SOUTHWESTERN BLVD STE 209Orchard Park, NY 14127-1749
Mailing Address3671 Southwestern Blvd Ste 209Orchard Park, NY 14127-1749
Phone(716) 895-7207
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 23, 2018
Last NPPES UpdateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
✔ NPI 1659879823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3671 SOUTHWESTERN BLVD STE 209, Orchard Park, NY 14127
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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

Stephanie 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.

PECOS PAC ID9133572381
PECOS Enrollment IDI20240124002707
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.

Other Providers at the Same Location NPPES 5

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

MEREDITH SURDEL
Counselor (Mental Health)
3671 SOUTHWESTERN BLVD STE 209
ORCHARD PARK, NY 14127
Erie County (716) 895-7207
GAVIN C RAFFLOER
Counselor (Mental Health)
3671 SOUTHWESTERN BLVD STE 209
ORCHARD PARK, NY 14127
Erie County (716) 895-7207
NICOLE STEFFEN
Counselor
3671 SOUTHWESTERN BLVD STE 209
ORCHARD PARK, NY 14127
Erie County (716) 895-7207
NICOLE ZIOLKOWSKI
Counselor
3671 SOUTHWESTERN BLVD STE 209
ORCHARD PARK, NY 14127
Erie County (716) 895-7207
EVAN BIDDLECOM
Counselor (Mental Health)
3671 SOUTHWESTERN BLVD STE 209
ORCHARD PARK, NY 14127
Erie County (716) 895-7207

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 Stephanie Wagner's NPI number?

The NPI number for Stephanie Wagner is 1659879823. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Stephanie Wagner located?

Stephanie Wagner practices at 3671 Southwestern Blvd Ste 209, Orchard Park, NY 14127. The listed phone number is (716) 895-7207.

What is Stephanie Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephanie Wagner enrolled in Medicare?

Yes. Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Wagner was last updated on November 11, 2021. 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.