ELIZABETH WAGONER APRN
NPI 1740953660
Nurse Practitioner - Family in Palm Beach Gardens, FL

Q: What is Elizabeth Wagoner's NPI number?

The NPI number for Elizabeth Wagoner is 1740953660. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Q: What is Elizabeth Wagoner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Wagoner was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 27, 2021PECOS EnrolledAccepts Medicare Assignment

3375 BURNS RD STE 101, PALM BEACH GARDENS, FL 33410(561) 622-3618(561) 626-9822 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2024, Jul 27, 2021 (2 updates tracked since 2021).

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About Elizabeth Wagoner Aprn NPPES

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

ELIZABETH WAGONER APRN (NPI 1740953660) is an individual family provider in Palm Beach Gardens, Florida, licensed in Florida (11014158) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Palm Beach Gardens Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740953660

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH WAGONERCredential: APRN

Location Address3375 BURNS RD STE 101Palm Beach Gardens, FL 33410-4360

Mailing AddressPo Box 20800Belfast, ME 04915-4105 · (888) 402-7256 · Fax (888) 902-1099

Phone(561) 622-3618

Fax(561) 626-9822

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 27, 2021

Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1740953660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11014158

3375 BURNS RD STE 101, Palm Beach Gardens, FL 33410

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Wagoner 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 ID9032598255

PECOS Enrollment IDI20220617002537

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Wagoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tenet Florida Physician Services LLC

7.6 mi

Surgery

1411 N FLAGLER DR STE 8000
West Palm Beach, FL 33401

Reassigned Medicare billing, Florida enrollment
528 clinicians in this Medicare group

NPI 1659417467 (561) 650-6231

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Palm Beach Gardens Medical Center

Acute Care Hospitals · Palm Beach Gardens, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100176

Location3360 Burns RdPalm Beach Gardens, FL 33410 · Palm Beach County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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.

KELLY RAE RECCHIA DNP, ARNP-BC

Nurse Practitioner