Beth Ann Wagner, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP023015 Issued in PA

Practice address

2608 Keiser Blvd
Wyomissing, PA 19610-3333

Phone

(610) 685-5864

Fax

(610) 929-1528

NPI assigned

Sep 8, 2020

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

Enrolled in PA

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Respiratory Specialists LTDGroup PAC ID 6204812076, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reading Hospital Hospital, West Reading, PA, CCN 390044

Merit-based Incentive Payment System (MIPS)

Final score

74.57 of 100Reported as group

Quality

58.95

Promoting interoperability

60

Improvement activities

40

Cost

79.57

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 and National Provider Directory roles.

• Respiratory Specialists LTD

  • Pulmonary Disease Physician
  • Wyomissing, PA
  • NPI 1801816152
  Medicare reassignment Care Compare group NPD

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

• Reading Hospital

  • Cardiovascular Disease Physician
  • West Reading, PA
  • NPI 1407570880

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1467007112
  Care Compare affiliation
• Reading Hospital

  • Gynecologic Oncology Physician
  • West Reading, PA
  • NPI 1528677192

  Hospital

  Care Compare affiliation
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1669530069
  Care Compare affiliation
• Reading Hospital

  • Hematology & Oncology Physician
  • West Reading, PA
  • NPI 1699384016

  Hospital

  Care Compare affiliation
• Reading Hospital

  • Mobile Mammography Clinic/Center
  • West Reading, PA
  • NPI 1982349650

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1205440138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-685-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Volo
• Son Vu, MD
• Son Van Vu, O.D.
• Shivani Vyas, D.O.
• Jerome Wachter
• Denise K Wagner, D.P.T
• Jaimi Wagner
• Samantha Wagner, LAPC
• Yadja Wagner
• Elizabeth Ann Waholek, M.A., LBSC

• Nurse Practitioner in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.