Individual provider Active NPI

Shelley E Wagner, M.D.

  • Family Medicine Physician
  • Bessemer, AL
National Provider Identifier
1700106739
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31246 Issued in AL
Practice address
975 9TH Ave SW Ste 310
Bessemer, AL 35022-7839
Phone
(205) 277-2358
Fax
(205) 426-7799
NPI assigned
Jun 1, 2010
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31246 AL Primary

Addresses

Primary practice location

975 9TH Ave SW Ste 310
Bessemer, AL 35022-7839

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other names 1

  • Shelley Waits Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111121000829 AL Practitioner - Family Practice 1557535945 Reassigns benefits to 1 organization
I20230616001843 ME Practitioner - Family Practice 1557535945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 947-6141

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

895 Union St
Suite 12
Bangor, ME 04401-3054
Phone (207) 973-7979

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31246ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Aug 11, 2013 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Aug 11, 2013 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 23, 2023 Accepting new patients
Eastern Maine Medical Center CurrentSince Jul 23, 2023 Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

489 State St
Bangor, ME 04401
Phone (207) 973-8837

895 Union St
Ste 12
Bangor, ME 04401
Phone (207) 973-7973

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000

Interoperability endpoints

  • Direct secure messaging: shelley.waits.2@13200.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1700106739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 9TH AVE SW STE 310",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227839",
            "telephone_number": "205-277-2358",
            "fax_number": "205-426-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SHELLEY",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "31246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "WAITS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.