MRS. KATHRYN JANE WAGNER FNP-C
NPI 1750806097
Nurse Practitioner - Family in Farmington Hills, MI

Active since August 08, 2017PECOS Enrolled
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336(248) 798-3107 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2023, Jul 26, 2021, Mar 10, 2020 and 1 more (4 updates tracked since 2017).

About Mrs. Kathryn Jane Wagner Fnp-c NPPES

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

MRS. KATHRYN JANE WAGNER FNP-C (NPI 1750806097) is an individual family provider in Farmington Hills, Michigan, licensed in Michigan (4704301133) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Livonia.

NPPES Registry Identity

NPI1750806097
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHRYN JANE WAGNERCredential: FNP-C
Location Address28050 GRAND RIVER AVEFarmington Hills, MI 48336-5919
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · Fax (586) 977-6084
Sole ProprietorNo
Enumeration DateAugust 8, 2017
Last NPPES UpdateMarch 16, 20234 updates tracked since enumeration
NPPES CertifiedMarch 15, 2023
NPI 1750806097 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 MI · 4704301133
28050 GRAND RIVER AVE, Farmington Hills, MI 48336

Secondary Practice Location 1

Location 129911 6 Mile RdLivonia, MI 48152-3603 · Phone (248) 762-5915

Other Identifiers 1

Other4704301133MI · The State Of Michigan Department Of Licensing And Regulatory Affairs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Kathryn Jane Wagner Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$51.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
28050 GRAND RIVER AVE, BOTSFORD GENERAL HOSPITAL ANESTHESIA DEPT
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Radiology (Diagnostic Radiology)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Emergency Medicine (Emergency Medical Services)
28050 GRAND RIVER AVE, ER DEPARTMENT
FARMINGTON HILLS, MI 48336
Pathology (Anatomic Pathology & Clinical Pathology)
28050 GRAND RIVER AVE, ATTN BOTSFORD HOSPITAL, PATHOLOGY
FARMINGTON HILLS, MI 48336
Pathology (Anatomic Pathology & Clinical Pathology)
28050 GRAND RIVER AVE, ATTN BOTSFORD HOSPITAL, PATHOLOGY
FARMINGTON HILLS, MI 48336

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 Kathryn Wagner's NPI number?

The NPI number for Kathryn Wagner is 1750806097. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Kathryn Wagner located?

Kathryn Wagner practices at 28050 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (248) 798-3107.

What is Kathryn Wagner's specialty?

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

Is Kathryn Wagner enrolled in Medicare?

Yes. Kathryn Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Wagner accept?

Health plans from McLaren Health Plan Community and Priority Health list Kathryn Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Wagner was last updated on March 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.