ELIZABETH A WAGNER NP
NPI 1760793046
Nurse Practitioner - Family in Green Bay, WI

Q: What is Elizabeth Wagner's NPI number?

The NPI number for Elizabeth Wagner is 1760793046. It was assigned to this individual provider in the NPPES registry on July 1, 2010. The provider is also known as Elizabeth A Donohue Rn.

Q: What is Elizabeth Wagner'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 Wagner was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 01, 2010PECOS EnrolledAccepts Medicare Assignment

744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-3640(920) 445-7289 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elizabeth A Wagner Np NPPES

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

ELIZABETH A WAGNER NP (NPI 1760793046) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (4106-33) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1760793046

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH A WAGNERCredential: NP

Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505

Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 433-3640 · Fax (920) 445-7289

Phone(920) 433-3640

Fax(920) 445-7289

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 1, 2010

Last NPPES UpdateFebruary 20, 2015

✔ NPI 1760793046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in WI · 4106-33

Also ListedRegistered NurseTaxonomy 163W00000X · License 125165-30 (WI)

744 S WEBSTER AVE, Green Bay, WI 54301

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Other Names 1

Former Name (1)Elizabeth A Donohue Rn

Other Identifiers 2

Medicare OSCAR/certificationK400193198WI

Medicare OSCAR/certification002150273WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth A Wagner Np 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 ID7113112954

PECOS Enrollment IDI20101105001286

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

136 services109 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521356

Location820 Arbutus AveOconto, WI 54153 · Oconto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

TAMMY ANN MOTQUIN

Nurse Practitioner (Family)