KATHLEEN MARY WAGNER ARNP
NPI 1740397041
Nurse Practitioner - Obstetrics & Gynecology in Melbourne, FL

Q: What is Kathleen Wagner's NPI number?

The NPI number for Kathleen Wagner is 1740397041. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Kathleen Mary Bender Arnp.

Q: What is Kathleen Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Wagner was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 23, 2006

1223 GATEWAY DRIVE, MELBOURNE, FL 32901(321) 725-4500(321) 722-1237 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kathleen Mary Wagner Arnp NPPES

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

KATHLEEN MARY WAGNER ARNP (NPI 1740397041) is an individual obstetrics & gynecology provider in Melbourne, Florida, licensed in Florida (ARNP9333175) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1740397041

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameKATHLEEN MARY WAGNERCredential: ARNP

Location Address1223 GATEWAY DRIVEMelbourne, FL 32901-2607

Mailing Address1223 Gateway DriveMelbourne, FL 32901-2607 · (321) 725-4500 · Fax (321) 722-1237

Phone(321) 725-4500

Fax(321) 722-1237

Sole ProprietorNo

Enumeration DateAugust 23, 2006

Last NPPES UpdateSeptember 7, 2012

✔ NPI 1740397041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in FL · ARNP9333175

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP30000510 (WA)

1223 GATEWAY DRIVE, Melbourne, FL 32901

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Other Names 1

Former Name (1)Kathleen Mary Bender Arnp

Other Identifiers 5

Medicaid9649823WA

Other0212946WA · Labor & Industries

Medicaid807564400ID

Medicare UPINS64575WA

Medicare PIN8861355WA

Other Providers at the Same Location NPPES 8

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

THOMAS D FIELDS MD

Urology

1223 GATEWAY DRIVE
MELBOURNE, FL 32901

Brevard County (321) 725-4500

BARRY A MILLS MD

Internal Medicine (Gastroenterology)

1223 GATEWAY DRIVE
MELBOURNE, FL 32901

Brevard County (321) 725-4500

ANGELA N PINSON AUD

Audiologist

1223 GATEWAY DRIVE, SUITE 1E
MELBOURNE, FL 32901

Brevard County (321) 725-4500

MARTIN W. ISENMAN MD

Internal Medicine

1223 GATEWAY DRIVE
MELBOURNE, FL 32901

Brevard County (321) 725-4500

PAUL R. BIGGS M.D.

Family Medicine (Geriatric Medicine)

1223 GATEWAY DRIVE
MELBOURNE, FL 32901

Brevard County (321) 725-4500

PETER M MARZANO III MD

Internal Medicine

1223 GATEWAY DRIVE
MELBOURNE, FL 32901

Brevard County (321) 725-4500

JOSEPH A GURRI MD

Surgery

1223 GATEWAY DRIVE
MELBOURNE, FL 32901

Brevard County (321) 725-4500

SUSAN DEBORAH ROUSE ARNP-C

Nurse Practitioner (Family)

1223 GATEWAY DRIVE
MELBOURNE, FL 32901

Brevard County (321) 725-4500

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 Kathleen Wagner's NPI number?

The NPI number for Kathleen Wagner is 1740397041. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Kathleen Mary Bender Arnp.

Where is Kathleen Wagner located?

Kathleen Wagner practices at 1223 Gateway Drive, Melbourne, FL 32901. The listed phone number is (321) 725-4500.

What is Kathleen Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Kathleen Wagner was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.