CRYSTAL WAGNER APRN
NPI 1689049033
Nurse Practitioner in Fort Thomas, KY

Active since December 10, 2015PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
85 N GRAND AVE, FORT THOMAS, KY 41075(859) 572-3617(859) 572-2326 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2025, Aug 31, 2020, Aug 24, 2016 and 2 more (5 updates tracked since 2015).

About Crystal Wagner Aprn NPPES

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

CRYSTAL WAGNER APRN (NPI 1689049033) is an individual nurse practitioner in Fort Thomas, Kentucky, licensed in Kentucky (3009831) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edgewood, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689049033
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCRYSTAL WAGNERCredential: APRN
Location Address85 N GRAND AVEFort Thomas, KY 41075-1793
Mailing AddressPo Box 18667Erlanger, KY 41018-0667 · (513) 312-2247 · Fax (859) 572-2326
Fax(859) 572-2326
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 10, 2015
Last NPPES UpdateJune 26, 20255 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1689049033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in KY · 3009831 Licensed in IN · 71010822A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
85 N GRAND AVE, Fort Thomas, KY 41075

Other Names 1

Former Name (1)Crystal Cruze

Secondary Practice Location 1

Location 11 Medical Village DriveEdgewood, KY 41017-3403 · Phone (859) 301-8074 · Fax (859) 301-4945

Other Identifiers 2

Medicaid7100411630KY
Medicaid0229162OH

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

Crystal Wagner Aprn 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 ID8224339106
PECOS Enrollment IDI20151217002750, I20210303002548
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services32 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41075 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.64
Improvement Activities40

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.

Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Physician Assistant
85 N GRAND AVE
FORT THOMAS, KY 41075
Pharmacist
85 N GRAND AVE
FORT THOMAS, KY 41075
Physical Therapist
85 N GRAND AVE
FORT THOMAS, KY 41075
Emergency Medicine
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Geriatric Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075
Respiratory Therapist, Certified
85 N GRAND AVE
FORT THOMAS, KY 41075
Family Medicine (Hospice and Palliative Medicine)
85 N GRAND AVE
FORT THOMAS, KY 41075

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 Crystal Wagner's NPI number?

The NPI number for Crystal Wagner is 1689049033. It was assigned to this individual provider in the NPPES registry on December 10, 2015. The provider is also known as Crystal Cruze.

Where is Crystal Wagner located?

Crystal Wagner practices at 85 N Grand Ave, Fort Thomas, KY 41075. The listed phone number is (859) 572-3617.

What is Crystal Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Crystal Wagner enrolled in Medicare?

Yes. Crystal 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 Crystal Wagner was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.