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ABIGAIL WAGNON
NPI 1962053835
Marriage & Family Therapist in Pryor, OK

Active since September 23, 2019PECOS Enrolled
231 E GRAHAM AVE, PRYOR, OK 74361(918) 418-3691 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Abigail Wagnon NPPES

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

ABIGAIL WAGNON (NPI 1962053835) is an individual marriage & family therapist in Pryor, Oklahoma and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962053835
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameABIGAIL WAGNON
Location Address231 E GRAHAM AVEPryor, OK 74361-2436
Mailing Address231 E Graham AvePryor, OK 74361-2436
Phone(918) 418-3691
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 23, 2019
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1962053835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
231 E GRAHAM AVE, Pryor, OK 74361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Wagnon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274013172
PECOS Enrollment IDI20260218004273
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.

Medicare Billing Reassignment

Medicare enrollment records show Abigail Wagnon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grand Lake Mental Health Center Inc.
Same address
Mental Health (Including Community Mental Health Center)
231 E GRAHAM AVE
Pryor, OK 74361
  • Reassigned Medicare billing, Oklahoma enrollment
  • 333 clinicians in this Medicare group
NPI 1982391728 (918) 825-1405

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

TRACY PRUITT
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
MICKI ERWIN
Licensed Practical Nurse
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (844) 458-2100
TEDDY ALLEN PENNYPACKER RN
Registered Nurse (Case Management)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
HILARY NICOLE ADMIRE
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JACQUELINE MARIE FLYNN
Counselor (Mental Health)
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
JO ANNE RENEE HENDERSON BA
Case Manager/Care Coordinator
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405
SHANNON RENE' STABERS
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1406
LISA MIKSELL
Peer Specialist
231 E GRAHAM AVE
PRYOR, OK 74361
Mayes County (918) 825-1405

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 Abigail Wagnon's NPI number?

The NPI number for Abigail Wagnon is 1962053835. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Abigail Wagnon located?

Abigail Wagnon practices at 231 E Graham Ave, Pryor, OK 74361. The listed phone number is (918) 418-3691.

What is Abigail Wagnon's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Abigail Wagnon enrolled in Medicare?

Yes. Abigail Wagnon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abigail Wagnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abigail Wagnon reassigns Medicare benefits to Grand Lake Mental Health Center Inc. (Pryor, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abigail Wagnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abigail Wagnon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Abigail Wagnon 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 Abigail Wagnon was last updated on March 11, 2024. 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.