Rachael Wagner, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN11043221 Issued in FL

Practice address

2940 Immokalee Rd Ste 2
Naples, FL 34110-1409

Phone

(407) 721-1220

NPI assigned

Jan 26, 2024

Last updated

Oct 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Rachael Carpenter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Sobia Najm Masoud MD.PA.

  dba Beachside Pediatrics of Naples

  • Pediatrics Physician
  • Naples, FL
  • NPI 1457927543
  NPD
• Robert W. Wilson, D.O., P.a.

  • Pediatric Adolescent Medicine Physician
  • Naples, FL
  • NPI 1841415932
  NPD (past)

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1093577884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 IMMOKALEE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 IMMOKALEE RD STE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101409",
            "telephone_number": "407-721-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RACHAEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11043221",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9424428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "CARPENTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria B Wadsworth, ARNP
• Emily Marija Wage
• Wagner Family Chiropractic, PA
• Joshua Wagner, DC
• Kristine Lee Wagner, PA-C
• Marilyn A Wahe, MD
• Rachel Wahl, PHARMD
• Stephen Robert Waite, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1957)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3417)

• Pediatric Nurse Practitioner in Naples, FL
• Providers in Naples, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.