MICHAEL DAVID WAGNER MS, RN, CNP, PMHNPBC
NPI 1699384958
Nurse Practitioner - Psychiatric/Mental Health in Clarksburg, MD

Q: What is Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1699384958. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Q: What is Michael Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 23, 2020

13719 LAPWING WAY, CLARKSBURG, MD 20871(507) 696-2157 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael David Wagner Ms, Rn, Cnp, Pmhnpbc NPPES

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

MICHAEL DAVID WAGNER MS, RN, CNP, PMHNPBC (NPI 1699384958) is an individual psychiatric/mental health provider in Clarksburg, Maryland, licensed in Maryland (R247240) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1699384958

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL DAVID WAGNERCredential: MS, RN, CNP, PMHNPBC

Location Address13719 LAPWING WAYClarksburg, MD 20871-3401

Mailing Address13719 Lapwing WayClarksburg, MD 20871-3401 · (507) 696-2157

Phone(507) 696-2157

Sole ProprietorYes

Enumeration DateJuly 23, 2020

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1699384958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MD · R247240✔ Licensed in MN · 7558

Also ListedRegistered NurseTaxonomy 163W00000X · License 191995-4 (MN)

13719 LAPWING WAY, Clarksburg, MD 20871

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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 Michael Wagner's NPI number?

The NPI number for Michael Wagner is 1699384958. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Michael Wagner located?

Michael Wagner practices at 13719 Lapwing Way, Clarksburg, MD 20871. The listed phone number is (507) 696-2157.

What is Michael Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Michael Wagner was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.