NPIMap

Individual provider Active NPI

Haley Elizabeth Wagner, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1073398624
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4008952 Issued in KY
Practice address
431 Redding Rd Ste 140
Lexington, KY 40517-2551
Phone
(859) 226-2500
Fax
(859) 280-2595
NPI assigned
Aug 30, 2023
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4008952 KY Primary

Addresses

Primary practice location

431 Redding Rd Ste 140
Lexington, KY 40517-2551

Mailing address

431 Redding Rd Ste 140
Lexington, KY 40517-2551
Phone (859) 226-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hwagner00@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231111000603 KY Practitioner - Nurse Practitioner 9032566153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 Redding Rd
Suite 140
Lexington, KY 40517-2551
Phone (859) 226-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.57 of 100Reported as group
Quality
50.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Nurse Practitioner Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Nurse Practitioner Past Accepting new patients
Flat Lick Medical Clinic PLLC Past Accepting new patients

Locations

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

431 Redding Rd
Ste 140
Lexington, KY 40517
Phone (859) 226-2500

Organizations & group practices 6

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1073398624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 REDDING RD STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172551",
            "telephone_number": "859-226-2500",
            "fax_number": "859-280-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 REDDING RD STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405172551",
            "telephone_number": "859-226-2500",
            "fax_number": "859-280-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4008952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwagner00@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "431 Redding Rd Ste 140",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405172551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.