Amy Wagner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

146465 Issued in MT

Practice address

937 Highland Blvd Ste 5410
Bozeman, MT 59715-6916

Phone

(406) 414-2400

Fax

(406) 414-3610

NPI assigned

Jun 2, 2014

Last updated

Apr 9, 2025By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
• Gallatin Rest Home Nursing home, Bozeman, MT, CCN 275066

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Bozeman Health Deaconess Hospital

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1619347390
  Medicare reassignment Care Compare group NPD
• Belgrade Clinic PLLP

  • Family Medicine Physician
  • Belgrade, MT
  • NPI 1447280912
  NPD
• Bozeman Health Deaconess Hospital

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1013733955
  NPD
• Bozeman Health Deaconess Hospital

  • Emergency Medicine Physician
  • Bozeman, MT
  • NPI 1437529112
  NPD
• Gallatin County

  dba Gallatin Rest Home

  • Skilled Nursing Facility
  • Bozeman, MT
  • NPI 1831196393
  NPD (past)
• Hospice of Central Ohio

  dba Palliative Care of Central Ohio

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newark, OH
  • NPI 1265532246
  NPD (past)

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

• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864
  Care Compare affiliation
• Gallatin County

  dba Gallatin Rest Home

  • Skilled Nursing Facility
  • Bozeman, MT
  • NPI 1831196393

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1174935688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HIGHLAND BLVD STE 5410",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156916",
            "telephone_number": "406-414-2400",
            "fax_number": "406-414-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "146465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174935688",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awagner14370670@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "937 Highland Blvd Ste 5410",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyler Vugteveen, AUD
• Christina Waalkes, LMT
• Wade a Darr D.C. P.C.
• Kelsey Wadsworth, DPT
• Holly J Wagley, MSP, CCC-SLP
• Jana Wagner, LCPC
• Kamerin Wagner, CLC
• Stephen Charles Wagner, PHD
• Zillah B. Waine-Shotland, M.A.
• Robert E Waldchen, P.T.

• Family Nurse Practitioner in Bozeman, MT
• Providers in Bozeman, 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 Apr 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.