SAMANTHA WAGNER
NPI 1669801791
Social Worker - Clinical in Hackensack, NJ
About Samantha Wagner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA WAGNER (NPI 1669801791) is an individual clinical provider in Hackensack, New Jersey, licensed in New Jersey (44SL05714100) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Samantha 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
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 Samantha Wagner's NPI number?
The NPI number for Samantha Wagner is 1669801791. It was assigned to this individual provider in the NPPES registry on November 8, 2013.
Where is Samantha Wagner located?
Samantha Wagner practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 527-8663.
What is Samantha Wagner's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Samantha Wagner enrolled in Medicare?
Yes. Samantha 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 Samantha Wagner was last updated on April 26, 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.
# Samantha Wagner · NPI 1669801791
Clinical provider in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since November 8, 2013.
## Identity
- **NPI:** 1669801791 (Entity type: Individual)
- **Enumerated:** November 8, 2013
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 44SL05714100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 30 PROSPECT AVE, Hackensack, NJ 07601-1914
- **Phone:** (201) 527-8663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 26, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1669801791) · Data from the CMS NPPES public registry.