KIMBERLY DAWN WAGNER FNP-BC
NPI 1861266017
Nurse Practitioner - Family in Crossville, TN

Q: What is Kimberly Wagner's NPI number?

The NPI number for Kimberly Wagner is 1861266017. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Q: What is Kimberly 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 Kimberly Wagner was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 08, 2023PECOS EnrolledAccepts Medicare Assignment

100 LANTANA RD STE 202, CROSSVILLE, TN 38555(931) 484-5141 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Jan 8, 2025, Jan 2, 2025 and 2 more (5 updates tracked since 2023).

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About Kimberly Dawn Wagner Fnp-bc NPPES

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

KIMBERLY DAWN WAGNER FNP-BC (NPI 1861266017) is an individual family provider in Crossville, Tennessee, licensed in Tennessee (34905) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sparta, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861266017

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY DAWN WAGNERCredential: FNP-BC

Location Address100 LANTANA RD STE 202Crossville, TN 38555-1903

Mailing Address521 Ben Lomand Dr Ste BSparta, TN 38583-1592 · (931) 265-4292

Phone(931) 484-5141

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 8, 2023

Last NPPES UpdateAugust 12, 20265 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1861266017 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 TN · 34905

100 LANTANA RD STE 202, Crossville, TN 38555

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Secondary Practice Location 1

Location 1521 Ben Lomand Dr Ste BSparta, TN 38583-1592 · Phone (931) 265-4292

Other Identifiers 1

MedicaidQ090212TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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

Kimberly Dawn Wagner Fnp-bc 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 ID3577909118

PECOS Enrollment IDI20240306001242

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 Kimberly Wagner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covenant Medical Group, Inc.

53 mi

Family Medicine

1420 CENTERPOINT BLVD
Knoxville, TN 37932

Reassigned Medicare billing, Tennessee enrollment
504 clinicians in this Medicare group

NPI 1457302010 (865) 374-5200

Ken Homolya MD LLC

93 mi

Pain Medicine

625 JOHNNY CASH BLVD STE 3
Hendersonville, TN 37075

Reassigned Medicare billing, Tennessee enrollment
10 clinicians in this Medicare group

NPI 1619266814 (615) 431-5484

Iris Medical Group

95 mi

Primary Care

9019 OVERLOOK BLVD STE C1B
Brentwood, TN 37027

Reassigned Medicare billing, Tennessee enrollment
137 clinicians in this Medicare group

NPI 1851025902 (615) 274-9767

Segue Health Partners LLC

266 mi

Family Medicine

765 WOODLAND TRACE LN
Cordova, TN 38018

Reassigned Medicare billing, Tennessee enrollment
47 clinicians in this Medicare group

NPI 1073040556 (901) 493-0111

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

83 services78 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

52 services37 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

51 services36 patients

Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347

An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.

27 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

AMBER MARIE LEVI D.O.

Family Medicine