MS. LYNN MICHELE WAGNER MA, LPC-IT
NPI 1811658891
Counselor - Professional in Brookfield, WI

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
13035 W BLUEMOUND RD STE 100, BROOKFIELD, WI 53005(262) 457-9767 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 7, 2024, Jan 11, 2022, Jan 3, 2022 (3 updates tracked since 2022).

About Ms. Lynn Michele Wagner Ma, Lpc-it NPPES

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

MS. LYNN MICHELE WAGNER MA, LPC-IT (NPI 1811658891) is an individual professional provider in Brookfield, Wisconsin, licensed in Wisconsin (5115-226) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811658891
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. LYNN MICHELE WAGNERCredential: MA, LPC-IT
Location Address13035 W BLUEMOUND RD STE 100Brookfield, WI 53005-8001
Mailing Address13035 W Bluemound Rd Ste 100Brookfield, WI 53005-8001 · (262) 457-9767
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 3, 2022
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1811658891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5115-226
13035 W BLUEMOUND RD STE 100, Brookfield, WI 53005

Accepted 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

Ms. Lynn Michele Wagner Ma, Lpc-it 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 ID5799204327
PECOS Enrollment IDI20250527002647
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 Lynn Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
13035 W BLUEMOUND RD STE 100
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group

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

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.

Student in an Organized Health Care Education/Training Program
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Mental Health)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Student in an Organized Health Care Education/Training Program
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Student in an Organized Health Care Education/Training Program
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005
Counselor (Professional)
13035 W BLUEMOUND RD STE 100
BROOKFIELD, WI 53005

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 Lynn Wagner's NPI number?

The NPI number for Lynn Wagner is 1811658891. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Lynn Wagner located?

Lynn Wagner practices at 13035 W Bluemound Rd Ste 100, Brookfield, WI 53005. The listed phone number is (262) 457-9767.

What is Lynn Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lynn Wagner enrolled in Medicare?

Yes. Lynn Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lynn Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lynn Wagner reassigns Medicare benefits to Life-Span Psychological Services, LLC (Brookfield, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lynn Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lynn Wagner accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Medica and Network Health and 2 other insurers list Lynn 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 Lynn Wagner was last updated on February 7, 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.