Andrea Wagner, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

5539 Issued in OK

Practice address

121 SE Adams Blvd
Bartlesville, OK 74003-4925

Phone

(918) 333-9992

Fax

(918) 333-9996

NPI assigned

Oct 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Andrea Glatz Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Andrea J Wagner PLLC

  • Audiologist
  • Bartlesville, OK
  • NPI 1366133266
  Medicare reassignment NPD Authorized official
• Renaissance Medical Foundation

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1467633867

  Audiologist

  NPD
• Clinical Associates, Inc

  • Certified Registered Nurse Anesthetist
  • Grapevine, TX
  • NPI 1518265966
  NPD (past)

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1548631476",
    "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",
            "telephone_number": "918-333-9992",
            "fax_number": "918-333-9996"
        },
        {
            "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",
            "fax_number": "918-333-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANDREA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80820",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "5539",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80820",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OK",
            "license": "5539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GLATZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allan P Vives, PH.D.
• Thomas Vivian
• Brenda Ann Volz, RN. IBCLC
• Tanner Reid Volz
• Debra Lynnelle Wadsworth, LPC
• Graciana Wahnee, LPN
• Jonetta Sue Wakely, MS, LPC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0041)
• Hope Walden
• Walgreen Co (Walgreens #15751)

• Audiologist-Hearing Aid Fitter in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Audiologist-Hearing Aid Fitter in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.