Active NPI
Heather A Wagner, CNS
- Clinical Nurse Specialist
- Cedarburg, WI
National Provider Identifier
1376422725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 177617-30
- Practice address
- N49W7951 Western Rd
Cedarburg, WI 53012-9023 - Phone
- (414) 232-2301
- NPI assigned
- Aug 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 177617-30 | WI | Primary |
Addresses
Primary practice location
N49W7951 Western Rd
Cedarburg, WI 53012-9023
Mailing address
N49W7951 Western Rd
Cedarburg, WI 53012-9023
Phone (414) 232-2301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177617-30 | WI | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1376422725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N49W7951 WESTERN RD",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530129023",
"telephone_number": "414-232-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N49W7951 WESTERN RD",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530129023",
"telephone_number": "414-232-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "HEATHER",
"middle_name": "A",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-29",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "WI",
"license": "177617-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.