Debra E Wagner, ARNP, CCRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

44988 Issued in KS

Practice address

1100 N Saint Francis St Ste 130
Wichita, KS 67214-2865

Phone

(316) 264-3505

Fax

(316) 264-0908

NPI assigned

Oct 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Kansas Long Term Care Physicians, LLC

  • Hospitalist Physician
  • Wichita, KS
  • NPI 1316973860
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1699862318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N SAINT FRANCIS ST STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142865",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N SAINT FRANCIS ST STE 130",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142865",
            "telephone_number": "316-264-3505",
            "fax_number": "316-264-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DEBRA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "ARNP, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "44988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Wadsworth, D.O.
• Abdul Wadud, MD
• Saeed E Wadud, MD
• Jason E Wagle, DDS
• Christine Michelle Wagner, LSCSW
• Irene K Wagner, M.A., C.C.C.-A.
• Amber R Wagnon, ARNP
• Sarah Wagoner, APRN
• David R Wahl, DC
• Ann Ncekei Wairagu, NP

• Acute Care Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Acute Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.