Individual provider Active NPI

Valerie Ann Wagner, FNP-C

  • Family Nurse Practitioner
  • Aberdeen, SD
National Provider Identifier
1699199919
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200471 Issued in SD
Practice address
1409 6TH Ave SE Ste 1
Aberdeen, SD 57401-4950
Phone
(605) 250-1200
Fax
(855) 538-3145
NPI assigned
Feb 6, 2014
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 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 200471 SD Primary
Community Health Registered Nurse 163WC1500X R-135369-1 MN

Addresses

Primary practice location

1409 6TH Ave SE Ste 1
Aberdeen, SD 57401-4950

Mailing address

1409 6TH Ave SE Ste 1
Aberdeen, SD 57401-4950
Phone (605) 250-1200

Other practice location 1

312 E Holly Blvd
Brandon, SD 57005-1240
Phone (605) 250-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20260420002890 SD Practitioner - Nurse Practitioner 8224504832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Day Health Care Prof LLCGroup PAC ID 8325473507, 12 clinicians

Practice addresses (Care Compare)

1409 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4950
Phone (605) 250-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-135369-1MNMDCommunity Health Registered Nurse
200471SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fit for Life Chiropractic, LLC Single Specialty CurrentSince Jun 1, 2026 Accepting new patients
Modern Day Health Care Prof LLC Single Specialty CurrentSince Jun 1, 2026 Accepting new patients
Dakota Vascular Prof LLC Single Specialty PastSince Jun 1, 2026 Accepting new patients
Southwest Health and Human Services PastSince Sep 11, 2022 Accepting new patients

Locations

1409 6th Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 240-1200

312 E Holly Blvd
Brandon, SD 57005
Phone (605) 254-7735

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1699199919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-250-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 6TH AVE SE STE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014950",
            "telephone_number": "605-250-1200",
            "fax_number": "855-538-3145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 E Holly Blvd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "SD",
            "postal_code": "570051240",
            "country_code": "US",
            "telephone_number": "605-250-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "200471",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R-135369-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.