Shannon M Wagenman, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

100410 Issued in MT

Practice address

17 N Miles Ave
Hardin, MT 59034-2323

Phone

(406) 665-2310

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Shannon M McGinity Former name

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smcginity84687@direct.sclhealth.com
• Direct secure messaging: swagenman@bighornhospital.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Big Horn Hospital Association

  • Critical Access Hospital
  • Hardin, MT
  • NPI 1891713533
  Medicare reassignment NPD
• Big Horn Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Hardin, MT
  • NPI 1457441651
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1013347665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MILES AVE",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590342323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N MILES AVE",
            "city": "HARDIN",
            "state": "MT",
            "postal_code": "590342323",
            "telephone_number": "406-665-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENMAN",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "100410",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-RN-LIC-71603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MCGINITY",
            "middle_name": "M",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda E Troyer, FNP
• Jeffrey Tulett, DMD
• Nicole D Turnsplenty
• Sean Underwood, PHARMD
• Ashley R Vandewark, RPH
• Andrew Anthony Wagner, D.C.
• Nicole Walksalong
• Jacqueline Whiteman, LCSW
• Phillene Whiteman, LAC
• Dylan Jon Wiebe, FNP

• Family Nurse Practitioner in Hardin, MT
• Providers in Hardin, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.