Brandi Marie Wagner, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5012781 Issued in NC

Practice address

100 Hospital Dr
Louisburg, NC 27549-2256

Phone

(919) 340-4981

NPI assigned

Feb 11, 2020

Last updated

Aug 8, 2022By 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

Medicare fee-for-service enrollment

Enrolled in NC

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Maria Parham Physician Practices LLCGroup PAC ID 7719153683, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maria Parham Medical Center Hospital, Henderson, NC, CCN 340132

Medicare enrollment (NPD)

Enrolled

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.

• DLP Maria Parham Physician Practices, LLC

  dba Maria Parham Primary Care

  • Family Medicine Physician
  • Henderson, NC
  • NPI 1215273628
  Medicare reassignment Care Compare group NPD
• DLP Maria Parham Physician Practices LLC

  • Psychiatry Physician
  • Louisburg, NC
  • NPI 1467947127
  NPD
• DLP Maria Parham Physician Practices LLC

  • Rural Health Clinic/Center
  • Henderson, NC
  • NPI 1578256749
  NPD

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

• DLP Maria Parham Medical Center LLC

  dba Maria Parham Medical Center

  • General Acute Care Hospital
  • Henderson, NC
  • NPI 1164707725
  Care Compare affiliation
• DLP Maria Parham Medical Center LLC

  dba Maria Parham Franklin

  • Psychiatric Hospital Unit
  • Louisburg, NC
  • NPI 1689166605
  Care Compare affiliation

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1285266833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 CHIMNEY SWIFT DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876784",
            "telephone_number": "316-250-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492256",
            "telephone_number": "919-340-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BRANDI",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-08-08",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5012781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Behavioral Health Services, LLC
• Vision Behavioral Health Services, LLC
• Vision Behavioral Health Services, LLC
• Vision Behavioral Health Services, LLC
• James Gilbert Waddle III, LPTA
• Wake Heart and Vascular Associates P.a.
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1953)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #11838)
• Walgreen Co (Rite Aid)

• Psychiatric/Mental Health Nurse Practitioner in Louisburg, NC
• Providers in Louisburg, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.