Angela Michelle Wagner, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.023469 Issued in OH

Practice address

7723 Tylers Place Blvd # 215
West Chester, OH 45069-4684

Phone

(513) 360-8089

Fax

(949) 703-8469

NPI assigned

Mar 14, 2019

Last updated

May 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler Behavioral Health Services, Inc.Group PAC ID 9537061742, 14 clinicians

The Children's Home of Cincinnati Ohio, IncGroup PAC ID 8729581640, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82 of 100Reported as group

Quality

65.97

Promoting interoperability

100

Improvement activities

40

Cost

74.01

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awagner50767@direct.uchealth.com
• FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

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.

• Butler Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1053377184
  Medicare reassignment Care Compare group NPD
• The Children's Home of Cincinnati Ohio, Inc

  dba Best Point Education & Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1134278518
  Medicare reassignment Care Compare group
• Central Clinic Inc Mental Health Access Point

  dba Central Connection

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1881607471
  Medicare reassignment NPD
• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment NPD
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434

  Psychiatry

  Medicare reassignment NPD
• Beaumont Behavioral Health PSC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
  • NPI 1659322642
  NPD (past)

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1679032163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 TYLERS PLACE BLVD # 215",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694684",
            "telephone_number": "513-360-8089",
            "fax_number": "949-703-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 TYLERS PLACE BLVD # 215",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450694684",
            "telephone_number": "513-360-8089",
            "fax_number": "949-703-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5011542",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023469",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "APRNCNP0234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA STATE BOARD OF NURSING - ADVANCED PRACTICE LICENSE #",
            "identifier": "5011542",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC - BOARD CERTIFICATION",
            "identifier": "2018009202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING ADVANCED PRACTICE LICENSE",
            "identifier": "APRN.CNP.023469",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minh-Duc Ngo Vu, PHARMD
• W J Geier Inc (Lakota Chiropractic and Physical Therapy)
• Davinder Wadehra, M.D.
• Connie Wagenknecht, NP
• Katherine A Waggoner
• Jan Wagner, RDLD
• Kayley Wagner
• Samantha Wagner, LPC
• Dwana Wagoner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2309)

• Psychiatric/Mental Health Nurse Practitioner in West Chester, OH
• Providers in West Chester, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.