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MRS. CAROLE EATON WAGNER FNP
NPI 1821085879
Nurse Practitioner - Family in Prescott, AZ

Active since October 04, 2005PECOS Enrolled
500 HWY 89 NORTH, NORTHERN AZVA HEALTHCARE SYSTEM, PRESCOTT, AZ 86313(928) 445-4860(928) 776-6147 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Carole Eaton Wagner Fnp NPPES

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

MRS. CAROLE EATON WAGNER FNP (NPI 1821085879) is an individual family provider in Prescott, Arizona, licensed in Arizona (RN036104) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821085879
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROLE EATON WAGNERCredential: FNP
Location Address500 HWY 89 NORTH, NORTHERN AZVA HEALTHCARE SYSTEMPrescott, AZ 86313
Mailing AddressPo Box 206Humboldt, AZ 86329-0206 · (928) 632-5550
Phone(928) 445-4860
Fax(928) 776-6147
Sole ProprietorYes
Enumeration DateOctober 4, 2005
Last NPPES UpdateOctober 26, 2010
✔ NPI 1821085879 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 AZ · RN036104
500 HWY 89 NORTH, Prescott, AZ 86313
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Carole Eaton Wagner Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Carole Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Little Clinic Of Arizona LLC
77 mi
Family
1300 S WATSON RD
Buckeye, AZ 85326
  • Reassigned Medicare billing, Arizona enrollment
  • 107 clinicians in this Medicare group
NPI 1023216249 (623) 241-5322

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86313 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 3

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

DR. SHEILA MICHELLE WILLEMS O.D.
Optometrist
500 HWY 89 NORTH, NORTHERN ARIZONA VA HEALTHCARE SYSTEM
PRESCOTT, AZ 86313
Yavapai County (928) 445-4860
DR. KATHRYN CHIESA CREMA PSY.D.
Psychologist (Health Service)
500 HWY 89 NORTH
PRESCOTT, AZ 86313
Yavapai County (928) 445-4861
MR. DON K LARUE MPAS,APA-C
Physician Assistant (Medical)
500 HWY 89 NORTH
PRESCOTT, AZ 86313
Yavapai County (800) 949-1005

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 Carole Wagner's NPI number?

The NPI number for Carole Wagner is 1821085879. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Carole Wagner located?

Carole Wagner practices at 500 Hwy 89 North Northern Azva Healthcare System, Prescott, AZ 86313. The listed phone number is (928) 445-4860.

What is Carole Wagner's specialty?

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

Is Carole Wagner enrolled in Medicare?

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

Which organization bills Medicare for Carole Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Wagner reassigns Medicare benefits to The Little Clinic Of Arizona LLC (Buckeye, AZ). 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 Carole Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carole Wagner was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.