GARY WAGONER BS
NPI 1871739037
Case Manager/Care Coordinator in Evansville, IN

Q: What is Gary Wagoner's NPI number?

The NPI number for Gary Wagoner is 1871739037. It was assigned to this individual provider in the NPPES registry on December 18, 2008.

Q: What is Gary Wagoner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Wagoner was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since December 18, 2008

415 MULBERRY STREET, EVANSVILLE, IN 47713(812) 423-7791(812) 422-7558 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Gary Wagoner Bs NPPES

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

GARY WAGONER BS (NPI 1871739037) is an individual case manager/care coordinator provider in Evansville, Indiana and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1871739037

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameGARY WAGONERCredential: BS

Location Address415 MULBERRY STREETEvansville, IN 47713-1230

Mailing Address415 Mulberry StreetEvansville, IN 47713-1230 · (812) 423-7791 · Fax (812) 422-7558

Phone(812) 423-7791

Fax(812) 422-7558

Sole ProprietorNo

Enumeration DateDecember 18, 2008

✔ NPI 1871739037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

415 MULBERRY STREET, Evansville, IN 47713

Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

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

CHRISTINA M UTTERBACK MSW LCSW

Social Worker (Clinical)