Elise Wagner, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

32792 Issued in SC

Practice address

2559 Mona Ave
Charleston, SC 29414-6414

Phone

(843) 226-5190

NPI assigned

Sep 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1073424180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 MONA AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146414",
            "telephone_number": "843-226-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 MONA AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146414",
            "telephone_number": "843-226-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ELISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "32792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raines Macphail Waggett, MD
• Stephanie Munie Waggett, MD
• Amanda Wagner, MA, LPC
• Barbara S Wagner, LPC
• Carol L Wagner, MD
• Janelle L Wagner, PHD
• Jessee Davis Wagner
• Mark T Wagner, PHD
• Mark W Wagner, MD
• Krista Terese Wagoner, M.D.

• Nurse Practitioner in Charleston, SC
• Providers in Charleston, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.