BETHANY WAGNER CRNP
NPI 1831614999
Nurse Practitioner - Family in Uniontown, PA

Q: What is Bethany Wagner's NPI number?

The NPI number for Bethany Wagner is 1831614999. It was assigned to this individual provider in the NPPES registry on August 10, 2017.

Q: What is Bethany 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 Bethany Wagner was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 August 10, 2017PECOS Enrolled

650 CHERRY TREE LN, UNIONTOWN, PA 15401(724) 438-4364(724) 438-4720 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, Oct 28, 2022, Aug 10, 2017 (3 updates tracked since 2017).

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About Bethany Wagner Crnp NPPES

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

BETHANY WAGNER CRNP (NPI 1831614999) is an individual family provider in Uniontown, Pennsylvania, licensed in Pennsylvania (SP017735) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831614999

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETHANY WAGNERCredential: CRNP

Location Address650 CHERRY TREE LNUniontown, PA 15401-8947

Mailing Address86 Mcclellandtown RdUniontown, PA 15401-5527

Phone(724) 438-4364

Fax(724) 438-4720

Sole ProprietorNo

Enumeration DateAugust 10, 2017

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1831614999 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 PA · SP017735

650 CHERRY TREE LN, Uniontown, PA 15401

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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)

Bethany Wagner Crnp 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 Reassignments

Medicare enrollment records show Bethany Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uniontown Medical Associates Inc

Same address

Family Medicine

650 CHERRY TREE LN
Uniontown, PA 15401

Reassigned Medicare billing, Pennsylvania enrollment
7 clinicians in this Medicare group

NPI 1710534235 (724) 438-4364

Centerville Clinics , Inc.

16 mi

Physical Medicine & Rehabilitation

1070 OLD NATIONAL PIKE
Fredericktown, PA 15333

Reassigned Medicare billing, Pennsylvania enrollment
88 clinicians in this Medicare group

NPI 1336167154 (724) 632-6801

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 15401 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$185.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

RICHARD JOSEPH PISH MD

Internal Medicine