Individual provider Active NPI

April M Wagner, ARNP-FNP-C

  • Family Nurse Practitioner
  • Fort Dodge, IA
National Provider Identifier
1689950453
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
116257 Issued in IA
Practice address
800 Kenyon Rd
Suite S
Fort Dodge, IA 50501-5776
Phone
(515) 574-6800
Fax
(515) 573-7234
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 116257 IA Primary

Addresses

Primary practice location

800 Kenyon Rd
Suite S
Fort Dodge, IA 50501-5776

Mailing address

802 Kenyon Rd
513
Fort Dodge, IA 50501-5740
Phone (515) 574-6890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120208000053 IA Practitioner - Nurse Practitioner 6002073764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

117 S 25TH St
Davita Renal Center of Fort Dodge
Fort Dodge, IA 50501-4357
Phone (800) 424-6589

1536 N 29TH St
Bickford of Fort Dodge
Fort Dodge, IA 50501-2148
Phone (515) 573-3300

2400 6TH Ave N
Marian Home
Fort Dodge, IA 50501-3541
Phone (515) 576-1138

420 Kenyon Rd
Fort Dodge, IA 50501-5749
Phone (515) 573-2121

800 Kenyon Rd
Fort Dodge, IA 50501-5776

802 Kenyon Rd
Fort Dodge, IA 50501-5740

802 Kenyon Rd
Fort Dodge, IA 50501-5747

925 Martin Luther King Dr
Fort Dodge, IA 50501-2866
Phone (515) 576-6525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116257IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

800 Kenyon Rd
Ste S
Fort Dodge, IA 50501
Phone (515) 573-4141

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

802 Kenyon Rd
#513
Fort Dodge, IA 50501
Phone (515) 574-6080

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

1010 15th St N
Humboldt, IA 50548
Phone (515) 332-2015

Interoperability endpoints

  • Direct secure messaging: agapp142829@direct.unitypoint.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1689950453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "address_2": "513",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KENYON RD",
            "address_2": "SUITE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015776",
            "telephone_number": "515-574-6800",
            "fax_number": "515-573-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "APRIL",
        "middle_name": "M",
        "credential": "ARNP-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "116257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.