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DR. ELIZABETH STANTON WAGNER MD, MPH
NPI 1831629336
Psychiatry & Neurology - Psychiatry in Riverside, RI

Active since June 15, 2017PECOS Enrolled
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915(401) 432-1000 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2022, Jul 21, 2022, Jun 15, 2017 (3 updates tracked since 2017).

About Dr. Elizabeth Stanton Wagner Md, Mph NPPES

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

DR. ELIZABETH STANTON WAGNER MD, MPH (NPI 1831629336) is an individual psychiatry provider in Riverside, Rhode Island, licensed in Rhode Island (MD18427) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831629336
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ELIZABETH STANTON WAGNERCredential: MD, MPH
Location Address1011 VETERANS MEMORIAL PKWYRiverside, RI 02915-5061
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 432-1000
Sole ProprietorYes
Enumeration DateJune 15, 2017
Last NPPES UpdateAugust 24, 20223 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1831629336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in RI · MD18427✔ Licensed in RI · LP04105
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPediatricsTaxonomy 208000000X · License LP04105 (RI)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License LP04105 (RI)
1011 VETERANS MEMORIAL PKWY, Riverside, RI 02915
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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)

Dr. Elizabeth Stanton Wagner Md, Mph 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

2

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

Emma Pendleton Bradley Hospital
Same address
Psychiatry
1011 VETERANS MEMORIAL PKWY
Riverside, RI 02915
  • Reassigned Medicare billing, Rhode Island enrollment
  • 99 clinicians in this Medicare group
NPI 1073705943 (401) 444-6966
Lifespan Physician Group, Inc.
2.6 mi
Psychiatry
593 EDDY STREET
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 315 clinicians in this Medicare group
NPI 1548506793 (401) 444-7442

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 02915 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 20

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

JUSTYNA PIASECKA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. VAMSI C TUMMALACHETTY PSYD
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MOLLIE BURNS LCSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
ELISE TAVERNA
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MARIA S REGAN MSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02915
Providence County (401) 432-1160
DR. ORNELLA JUDITH POTTER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. ANDREA LILLIAN GOLD PH.D.
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
TANUJA P GANDHI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000

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 Elizabeth Wagner's NPI number?

The NPI number for Elizabeth Wagner is 1831629336. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Elizabeth Wagner located?

Elizabeth Wagner practices at 1011 Veterans Memorial Pkwy, Riverside, RI 02915. The listed phone number is (401) 432-1000.

What is Elizabeth Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Elizabeth Wagner enrolled in Medicare?

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

Which organizations bill Medicare for Elizabeth Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Wagner reassigns Medicare benefits to 2 organizations: Emma Pendleton Bradley Hospital (Riverside, RI) and Lifespan Physician Group, Inc. (Providence, RI). Each 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 Elizabeth 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 Elizabeth Wagner was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.