Individual provider Active NPI

Catherine Collins Wagner, FNP

  • Family Nurse Practitioner
  • Ironton, OH
National Provider Identifier
1760902001
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021058 Issued in OH
Practice address
1408 Campbell Dr
Ironton, OH 45638-2301
Phone
(740) 534-9202
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 APRN.CNP.021058 OH Primary

Addresses

Primary practice location

1408 Campbell Dr
Ironton, OH 45638-2301

Mailing address

305 N 5TH St
Ironton, OH 45638-1578
Phone (740) 532-4858

Other practice location 1

120 N 3rd St
Ironton, OH 45638-1574
Phone (740) 532-7855

Other identifiers 1

IdentifierTypeStateIssuer
0237455MedicaidOH

Other names 1

  • Miss Catherine Shay Collins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170828001405 OH Practitioner - Nurse Practitioner 9739451683 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Oct 1, 2019 Accepting new patients
Ironton & Lawrence County Area Community Action Organization Current Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Oct 1, 2019 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Oct 1, 2019 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Oct 1, 2019 Accepting new patients
Ironton & Lawrence County Area Community Action Organization CurrentSince Oct 1, 2019 Accepting new patients

Locations

717 3rd Ave
Chesapeake, OH 45619
Phone (740) 867-6687

717 3rd Ave
#C
Chesapeake, OH 45619
Phone (740) 867-6687

1408 Campbell Dr
Ironton, OH 45638
Phone (740) 533-9710

1408 Campbell Dr
Ste 201
Ironton, OH 45638
Phone (740) 442-2235

120 N 3rd St
Ironton, OH 45638
Phone (740) 532-7855

305 N 5th St
Ironton, OH 45638

1408 Campbell Dr
#201
Ironton, OH 45638
Phone (740) 534-9195

13804 State Route 141
Kitts Hill, OH 45645
Phone (740) 643-0234

10777 County Road 107
Proctorville, OH 45669
Phone (740) 302-0541

55 Township Road 508 E
South Point, OH 45680
Phone (740) 377-2712

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironton and Lawrence County Area Community Action Organization 17 clinicians
Premier Therapy and Health Centers Inc 263 clinicians

Practice addresses (Care Compare)

13804 State Route 141
Kitts Hill, OH 45645-8848
Phone (740) 643-2082

209 N 2ND St
Suite a
Ironton, OH 45638-1485
Phone (740) 534-1410

Hospital & facility affiliations

  • Abbott Home Care, Inc Home health agency, Coal Grove, OH, CCN 368014
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1760902001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858",
            "fax_number": "740-532-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 CAMPBELL DR",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382301",
            "telephone_number": "740-534-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456381574",
            "country_code": "US",
            "telephone_number": "740-532-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CATHERINE",
        "middle_name": "COLLINS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237455",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "COLLINS",
            "middle_name": "SHAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ironton, OH

Sources for this page

Verify at the official NPI Registry.