NPIMap

Individual provider Active NPI

Ali E Wagner, FNP-C

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Lovell, WY
National Provider Identifier
1558993261
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
45489 Issued in WY
Practice address
1115 Lane 12
Lovell, WY 82431-9537
Phone
(307) 548-5201
NPI assigned
Feb 11, 2020
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F01200522 NM
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 45489 WY Primary

Addresses

Primary practice location

1115 Lane 12
Lovell, WY 82431-9537

Mailing address

1115 Lane 12
Lovell, WY 82431-9537
Phone (307) 548-5201

Other identifiers 1

IdentifierTypeStateIssuer
F01200522OtherAANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200520000950 WY Practitioner - Nurse Practitioner 0446681753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Big Horn Hospital DistrictGroup PAC ID 1456269869, shared by 17 NPIs, 22 clinicians

Practice addresses (Care Compare)

1115 Lane
Suite 12
Lovell, WY 82431-9537
Phone (307) 548-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.81 of 100Reported as group
Quality
68.75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01200522NMMDFamily Nurse Practitioner
45489WYMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Big Horn Hospital District CurrentSince Apr 1, 2020 Accepting new patients
North Big Horn Hospital CurrentSince Apr 1, 2020 Accepting new patients
North Big Horn Hospital District CurrentSince Apr 1, 2020 Accepting new patients

Locations

1115 Lane 12
Lovell, WY 82431
Phone (307) 548-2771

Interoperability endpoints

  • Direct secure messaging: awagner5@nbhh.cernerdirect.com

Organizations & group practices 3

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 10

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1558993261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 LANE 12",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824319537",
            "telephone_number": "307-548-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 LANE 12",
            "city": "LOVELL",
            "state": "WY",
            "postal_code": "824319537",
            "telephone_number": "307-548-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ALI",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "F01200522",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WY",
            "license": "45489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F01200522",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovell, WY

Sources for this page

Verify at the official NPI Registry.