Andrea J Wagner PLLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

ANDREA J WAGNER PLLC

Practice address

121 SE Adams Blvd
Bartlesville, OK 74003-4925

Phone

(918) 333-9992

NPI assigned

May 19, 2023

Last updated

May 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Wagner, AUDNPI 1548631476

Title

Owner / Audiologist

Phone

(918) 333-9992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Wagner, AUD

  • Audiologist-Hearing Aid Fitter
  • Bartlesville, OK
  • NPI 1548631476
  Medicare reassignment NPD Authorized official
• Stephanie R Moore, AUD

  • Audiologist
  • Bartlesville, OK
  • NPI 1205941804
  Medicare reassignment NPD

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1366133266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SE ADAMS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740034925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SE ADAMS BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740034925",
            "telephone_number": "918-333-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA J WAGNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER / AUDIOLOGIST",
        "authorized_official_telephone_number": "918-333-9992",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Baughman Anderson
• Gina Leanne Anderson, ARNP
• Katherine Marie Anderson, CNP
• Mary Anderson
• Shelley Deeann Anderson
• Ashley Elizabeth Andrews, LPC
• Anesthesia Services LLC
• Anesthesiologists of Bartlesville
• Amy Paola Antonio
• Apollo Services Inc.

• Audiologist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Audiologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.