STEPHANIE A WAGNER PNP
NPI 1811430655
Nurse Practitioner - Pediatrics in Louisville, KY

Q: What is Stephanie Wagner's NPI number?

The NPI number for Stephanie Wagner is 1811430655. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Q: What is Stephanie Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Wagner was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 November 28, 2016PECOS Enrolled

411 E CHESTNUT ST # STREET6, LOUISVILLE, KY 40202(502) 588-3650(502) 588-7852 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2024, Oct 29, 2020, Apr 24, 2020 and 1 more (4 updates tracked since 2017).

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About Stephanie A Wagner Pnp NPPES

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

STEPHANIE A WAGNER PNP (NPI 1811430655) is an individual pediatrics provider in Louisville, Kentucky, licensed in Indiana (71006717A) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811430655

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSTEPHANIE A WAGNERCredential: PNP

Location Address411 E CHESTNUT ST # STREET6Louisville, KY 40202-1713

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 588-3650

Fax(502) 588-7852

Sole ProprietorNo

Enumeration DateNovember 28, 2016

Last NPPES UpdateNovember 18, 20244 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1811430655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71006717A

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71006717A (IN)

411 E CHESTNUT ST # STREET6, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Stephanie A Wagner Pnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 14

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

JEETENDRA SAH M.D

Pediatrics