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

NPI Status: Active since August 23, 2006

Contact Information

1223 GATEWAY DRIVE
MELBOURNE, FL
ZIP 32901
Phone: (321) 725-4500
Fax: (321) 722-1237

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Obstetrics & Gynecology

About KATHLEEN WAGNER

This page provides the complete NPI Profile along with additional information for Kathleen Wagner, a provider established in Melbourne, Florida with a medical specialization in Nurse Practitioner, focusing in obstetrics & gynecology . The healthcare provider is registered in the NPI registry with number 1740397041 assigned on August 2006. The practitioner's primary taxonomy code is 363LX0001X with license number ARNP9333175 (FL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI: 1740397041
Provider Name: KATHLEEN MARY WAGNER ARNP
Other Name: KATHLEEN MARY BENDER ARNP
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 1223 GATEWAY DRIVE MELBOURNE, FL 32901
Location Phone: (321) 725-4500
Location Fax: (321) 722-1237
Mailing Address: 1223 GATEWAY DRIVE MELBOURNE, FL 32901
Mailing Phone: (321) 725-4500
Mailing Fax: (321) 722-1237
Is Sole Proprietor?: No
Enumeration Date: 08-23-2006
Last Update Date: 09-07-2012
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A nurse practitioner (NP) like Kathleen Wagner is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Obstetrics & Gynecology
Taxonomy Code: 363LX0001X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: ARNP9333175
License State: FL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	AP30000510 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
9649823	MEDICAID (05)	WA
0212946	OTHER (01)	WA	LABOR & INDUSTRIES
807564400	MEDICAID (05)	ID
S64575	MEDICARE UPIN (02)	WA
8861355	MEDICARE PIN (08)	WA

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740397041, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 6

Pos 6

Unchanged

Pos 7

Doubled → 14 → 1 + 4

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 6 + 9 + 1 + 4 + 0 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1

This NPI is valid

The calculated check digit is 1, which matches the last digit of 1740397041.