1. Home
  2. Directory
  3. Minnesota
  4. Saint Louis Park
  5. Psychologist
  6. NPI Profile

DR. ELIZABETH WAGNER PSYD
NPI 1922128529
Psychologist - Clinical in Saint Louis Park, MN

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
4500 PARK GLEN RD, SUITE 450, SAINT LOUIS PARK, MN 55416(952) 444-9744(952) 444-9745 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elizabeth Wagner Psyd NPPES

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

DR. ELIZABETH WAGNER PSYD (NPI 1922128529) is an individual clinical provider in Saint Louis Park, Minnesota, licensed in Minnesota (LP5833) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922128529
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELIZABETH WAGNERCredential: PSYD
Location Address4500 PARK GLEN RD, SUITE 450Saint Louis Park, MN 55416-4871
Mailing Address4500 Park Glen Rd, Suite 450Saint Louis Park, MN 55416-4871 · (952) 444-9744 · Fax (952) 444-9745
Phone(952) 444-9744
Fax(952) 444-9745
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 1, 2016
✔ NPI 1922128529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP5833
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4500 PARK GLEN RD, Saint Louis Park, MN 55416
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Dr. Elizabeth Wagner Psyd 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 ID5092058123
PECOS Enrollment IDI20190513002485
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 55416 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 19

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

THOMAS JACOBS MA, LMFT
Marriage & Family Therapist
4500 PARK GLEN RD, #150
ST LOUIS PARK, MN 55416
Hennepin County (612) 872-9446
MS. NANCY JANE BARRON M.A., L.P.
Marriage & Family Therapist
4500 PARK GLEN RD, #150
ST LOUIS PARK, MN 55416
Hennepin County (612) 978-1400
DAWN DRAAYER-THIBODEAU, LLC
Social Worker (Clinical)
4500 PARK GLEN RD, SUITE 155
ST LOUIS PARK, MN 55416
Hennepin County (952) 334-1213
RENEE T VONWEISS PHD LP
Psychologist (Clinical)
4500 PARK GLEN RD, SUITE 450
ST LOUIS PARK, MN 55416
Hennepin County (952) 444-9744
DR. JENNIFER LYNN WIGTON PH.D.
Psychologist
4500 PARK GLEN RD, SUITE 151
SAINT LOUIS PARK, MN 55416
Hennepin County (612) 723-0460
DR. SIGNE DYSKEN M.D.
Psychiatry & Neurology (Psychiatry)
4500 PARK GLEN RD, SUITE 360
ST LOUIS PARK, MN 55416
Hennepin County (612) 822-2111
DR. VERNON T DEVINE PH.D.
Psychologist (Clinical)
4500 PARK GLEN RD, SUITE 360
ST LOUIS PARK, MN 55416
Hennepin County (952) 929-9478
BENJAMIN POWERS LPC
Counselor (Mental Health)
4500 PARK GLEN RD, SUITE 155
ST LOUIS PARK, MN 55416
Hennepin County (612) 223-7992

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 Elizabeth Wagner's NPI number?

The NPI number for Elizabeth Wagner is 1922128529. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Elizabeth Wagner located?

Elizabeth Wagner practices at 4500 Park Glen Rd Suite 450, Saint Louis Park, MN 55416. The listed phone number is (952) 444-9744.

What is Elizabeth Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Wagner enrolled in Medicare?

Yes. Elizabeth 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 Elizabeth Wagner accept?

Health plans from HealthPartners and Sanford Health Plan list Elizabeth 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Wagner was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.