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BREANNA WAGNER
NPI 1790554012
Nurse Practitioner in Cincinnati, OH

Active since December 28, 2023
3333 BURNET AVE, ML 2023, CINCINNATI, OH 45229(513) 636-4371(513) 636-7657 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Breanna Wagner NPPES

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

BREANNA WAGNER (NPI 1790554012) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (0035446) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1790554012
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBREANNA WAGNER
Location Address3333 BURNET AVE, ML 2023Cincinnati, OH 45229
Mailing Address4975 Twinbrook CtBlue Ash, OH 45242-5722 · (419) 631-7256
Phone(513) 636-4371
Fax(513) 636-7657
Sole ProprietorNo
Enumeration DateDecember 28, 2023
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1790554012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · 0035446
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3333 BURNET AVE, ML 2023, Cincinnati, OH 45229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

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 Breanna Wagner's NPI number?

The NPI number for Breanna Wagner is 1790554012. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Where is Breanna Wagner located?

Breanna Wagner practices at 3333 Burnet Ave, Ml 2023, Cincinnati, OH 45229. The listed phone number is (513) 636-4371.

What is Breanna Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Breanna Wagner accept?

Health plans from MedMutual list Breanna 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 Breanna Wagner was last updated on March 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.