Stephanie Michelle Wagner, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-75171-071 Issued in KS

Practice address

2309 S Tucker Ter
Pittsburg, KS 66762-6645

Phone

(620) 291-1101

Fax

(877) 490-6696

NPI assigned

Aug 16, 2010

Last updated

Feb 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Merit-based Incentive Payment System (MIPS)

Final score

48.28 of 100Reported as group

Quality

21.69

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.wagner@khindirect.org
• Direct secure messaging: swagner@lh.gwaydirect.com

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.

• Labette County Medical Center

  dba LCMC ER Physician Group

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1336133362
  Medicare reassignment NPD
• Labette County Medical Center

  dba Labette Health Pittsburg Clinic

  • Rural Health Clinic/Center
  • Pittsburg, KS
  • NPI 1205524113
  NPD
• Labette County Medical Center

  dba Labette Health Physician's Group

  • Specialist
  • Parsons, KS
  • NPI 1891845475
  NPD

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1689989501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 S TUCKER TER",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626645",
            "telephone_number": "620-291-1101",
            "fax_number": "877-490-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 S TUCKER TER",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626645",
            "telephone_number": "620-291-1101",
            "fax_number": "877-490-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-75171-071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy James Voss, DC
• Megan Vyhlidal, D.C.
• Misty Dawn Vyhlidal, APRN
• Macy Wade
• Terry Ray Waggoner II, LSCSW
• Wal-Mart Stores, Inc. (Vision Center 30-0072)
• Walgreen Co (Walgreens #09049)
• Walmart Inc. (Walmart Pharmacy 10-0072)
• Walmart Inc. (Walmart Pharmacy 10-5791)
• Breanna M Ward, LSCSW

• Family Nurse Practitioner in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.