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OLIVIA ANN WAGONER
NPI 1972435402
Audiologist in Sterling Heights, MI

Active since June 01, 2026
11080 HALL RD STE A, STERLING HEIGHTS, MI 48314(586) 254-7200 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Olivia Ann Wagoner NPPES

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

OLIVIA ANN WAGONER (NPI 1972435402) is an individual audiologist in Sterling Heights, Michigan, licensed in Michigan (1601001237) and active in the NPI registry since June 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1972435402
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameOLIVIA ANN WAGONER
Location Address11080 HALL RD STE ASterling Heights, MI 48314-1511
Mailing Address1851 Village Green Blvd Apt 207Rochester Hills, MI 48307-6102 · (330) 888-8050
Phone(586) 254-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 1, 2026
NPPES CertifiedMay 31, 2026
✔ NPI 1972435402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MI · 1601001237
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
11080 HALL RD STE A, Sterling Heights, MI 48314
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Ann Wagoner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981178803
PECOS Enrollment IDI20260701003565

Medicare Billing Reassignment

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

Henry Ford Health St. John Hospital
9.7 mi
Podiatrist
26755 BALLARD ST
Harrison Township, MI 48045
  • Reassigned Medicare billing, Michigan enrollment
  • 520 clinicians in this Medicare group
NPI 1043478910 (584) 655-5501

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 5

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

NICOLAS MANUEL ESPINOSA MD
Otolaryngology
11080 HALL RD STE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-7200
EMILY PAIGE BROWN AU.D.
Audiologist
11080 HALL RD STE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-0033
NICOLETTE MARIE BEAZLEY AU.D.
Audiologist
11080 HALL RD STE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-0033
DR. LOUIS RAYMOND HARTINGS AU.D., CCC-A
Audiologist
11080 HALL RD STE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-0033
MOLLY R HUNTER AU.D.
Audiologist
11080 HALL RD STE A
STERLING HEIGHTS, MI 48314
Macomb County (586) 254-0033

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 Olivia Wagoner's NPI number?

The NPI number for Olivia Wagoner is 1972435402. It was assigned to this individual provider in the NPPES registry on June 1, 2026.

Where is Olivia Wagoner located?

Olivia Wagoner practices at 11080 Hall Rd Ste A, Sterling Heights, MI 48314. The listed phone number is (586) 254-7200.

What is Olivia Wagoner's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Olivia Wagoner enrolled in Medicare?

Yes. Olivia Wagoner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olivia Wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Wagoner reassigns Medicare benefits to Henry Ford Health St. John Hospital (Harrison Township, MI). 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 Olivia Wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Wagoner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Olivia Wagoner 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 Olivia Wagoner was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.