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LIANNE ROSE WAGNER DO
NPI 1871237602
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 27, 2022PECOS Enrolled
22101 MOROSS RD STE 214, DETROIT, MI 48236(313) 343-7110 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lianne Rose Wagner Do NPPES

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

LIANNE ROSE WAGNER DO (NPI 1871237602) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871237602
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLIANNE ROSE WAGNERCredential: DO
Location Address22101 MOROSS RD STE 214Detroit, MI 48236-2148
Mailing Address22101 Moross Rd Ste 214Detroit, MI 48236-2148 · (586) 576-4345
Phone(313) 343-7110
Sole ProprietorNo
Enumeration DateApril 27, 2022
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1871237602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
22101 MOROSS RD STE 214, Detroit, MI 48236
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lianne Rose Wagner Do 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.

Other Providers at the Same Location NPPES 2

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

DR. ADRIAN OLSON DO
Student in an Organized Health Care Education/Training Program
22101 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-7110
DR. ZACHARY DAVID COX DO
Student in an Organized Health Care Education/Training Program
22101 MOROSS RD STE 214
DETROIT, MI 48236
Wayne County (313) 343-7110

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 Lianne Wagner's NPI number?

The NPI number for Lianne Wagner is 1871237602. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Lianne Wagner located?

Lianne Wagner practices at 22101 Moross Rd Ste 214, Detroit, MI 48236. The listed phone number is (313) 343-7110.

What is Lianne Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lianne Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lianne Wagner was last updated on June 13, 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.