Individual provider Active NPI

Corinnia F Wagner, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1427444694
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024172484 Issued in VA
Practice address
1001 Sam Perry Blvd.
Fredericksburg Hospitalist Group
Fredericksburg, VA 22401
Phone
(540) 741-1100
NPI assigned
Apr 14, 2015
Last updated
Jul 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024172484 VA Primary

Addresses

Primary practice location

1001 Sam Perry Blvd.
Fredericksburg Hospitalist Group
Fredericksburg, VA 22401

Mailing address

1001 Sam Perry Blvd.
Fredericksburg Hospitalist Group
Fredericksburg, VA 22401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20150902003157 VA Practitioner - Nurse Practitioner 9133435340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates of Fredericksburg IncGroup PAC ID 5799673596, 8 clinicians

Practice addresses (Care Compare)

521 Park Hill Dr
Fredericksburg, VA 22401-3377
Phone (540) 899-1615

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024172484VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Pulmonary Associates of Fredericksburg Inc CurrentSince Apr 25, 2017 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 10, 2019 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 10, 2019 Accepting new patients

Locations

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1101 Sam Perry Blvd
Ste 207
Fredericksburg, VA 22401
Phone (540) 372-7792

521 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 899-1615

125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500

Interoperability endpoints

  • Direct secure messaging: corinniawagner@paofi-va.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1427444694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD.",
            "address_2": "FREDERICKSBURG HOSPITALIST GROUP",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD.",
            "address_2": "FREDERICKSBURG HOSPITALIST GROUP",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22401",
            "telephone_number": "540-741-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CORINNIA",
        "middle_name": "F",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024172484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.