GRETCHEN WAGNER
NPI 1881151157
Nurse Practitioner - Family in Burlington, WI

Active since February 22, 2019PECOS EnrolledAccepts Medicare Assignment
2088 MILWAUKEE AVE STE 1, BURLINGTON, WI 53105(262) 757-4131 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 16, 2023, Sep 2, 2019, Feb 22, 2019 (3 updates tracked since 2019).

About Gretchen Wagner NPPES

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

GRETCHEN WAGNER (NPI 1881151157) is an individual family provider in Burlington, Wisconsin, licensed in Wisconsin (9090-33) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Marquette University School Of Dentistry (2017).

NPPES Registry Identity

NPI1881151157
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRETCHEN WAGNER
Location Address2088 MILWAUKEE AVE STE 1Burlington, WI 53105-7790
Mailing Address2088 Milwaukee Ave Ste 1Burlington, WI 53105-7790
Sole ProprietorYes
Medical School CMSMarquette University School Of DentistryGraduated 2017
Enumeration DateFebruary 22, 2019
Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1881151157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 9090-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9090-33 (WI)
2088 MILWAUKEE AVE STE 1, Burlington, WI 53105

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

Gretchen Wagner 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 ID8820325822
PECOS Enrollment IDI20190814001758
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53105 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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

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

Nursing Facility/Intermediate Care Facility
2088 MILWAUKEE AVE STE 1
BURLINGTON, WI 53105

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 Gretchen Wagner's NPI number?

The NPI number for Gretchen Wagner is 1881151157. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is Gretchen Wagner located?

Gretchen Wagner practices at 2088 Milwaukee Ave Ste 1, Burlington, WI 53105. The listed phone number is (262) 757-4131.

What is Gretchen Wagner's specialty?

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

Is Gretchen Wagner enrolled in Medicare?

Yes. Gretchen 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.

When was this NPI record last updated?

The NPPES record for Gretchen Wagner was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.