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

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: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2025, Jan 2, 2025, Jun 3, 2024 and 1 more (4 updates tracked since 2023).

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, is affiliated with Cumberland Medical Center, and is a graduate of Other (2009).

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 Address100 Lantana Rd Ste 202Crossville, TN 38555-1903 · (931) 484-5141
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 8, 2023
Last NPPES UpdateJanuary 8, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
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

Other Identifiers 1

MedicaidQ090212TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

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.

Family Medicine
100 LANTANA RD STE 202
CROSSVILLE, TN 38555
Nurse Practitioner (Family)
100 LANTANA RD STE 202
CROSSVILLE, TN 38555
Nurse Practitioner (Family)
100 LANTANA RD STE 202
CROSSVILLE, TN 38555
Family Medicine
100 LANTANA RD STE 202
CROSSVILLE, TN 38555
Nurse Practitioner
100 LANTANA RD STE 202
CROSSVILLE, TN 38555
Nurse Practitioner (Family)
100 LANTANA RD STE 202
CROSSVILLE, TN 38555
Internal Medicine
100 LANTANA RD STE 202
CROSSVILLE, TN 38555
Nurse Practitioner (Family)
100 LANTANA RD STE 202
CROSSVILLE, TN 38555

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 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.

Where is Kimberly Wagner located?

Kimberly Wagner practices at 100 Lantana Rd Ste 202, Crossville, TN 38555. The listed phone number is (931) 484-5141.

What is Kimberly Wagner's specialty?

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

Is Kimberly Wagner enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Wagner accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Kimberly 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.

Is Kimberly Wagner affiliated with any hospitals?

According to CMS data, Kimberly Wagner is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Wagner was last updated on January 8, 2025, 18 months ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. 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.