Janelle Joy Wagner, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP10340 Issued in CO

Practice address

1760 E Ken Pratt Blvd Ste 301&302
Longmont, CO 80504-5311

Phone

(303) 684-1900

Fax

(303) 684-1925

NPI assigned

May 24, 2010

Last updated

May 15, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment NPD
• Rocky Mountain Cancer Centers LLP

  • Hematology & Oncology Physician
  • Greenwood Village, CO
  • NPI 1518941186
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  dba Orthopedic Centers of Colorado - Saint Joseph

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Intermountain Medical Group Denver, LLC

  dba Green Valley Ranch Clinic - Primary Care

  • Family Medicine Physician
  • Denver, CO
  • NPI 1760095939
  NPD
• Rocky Mountain Cancer Centers LLP

  dba Rocky Mountain Cancer Centers, A Professional LLP

  • Radiation Oncology Physician
  • Greenwood Village, CO
  • NPI 1861539538
  NPD
• Rocky Mountain Cancer Centers, LLP

  dba Rocky Mountain Cancer Centers-RMCC Longmont

  • Hematology & Oncology Physician
  • Longmont, CO
  • NPI 1538762760
  NPD
• Khalid Chowdhury MD, PC

  • Facial Plastic Surgery Physician
  • Denver, CO
  • NPI 1457502940
  NPD (past)

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1801115340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114758",
            "telephone_number": "303-930-7803",
            "fax_number": "039-305-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E KEN PRATT BLVD STE 301&302",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805045311",
            "telephone_number": "303-684-1900",
            "fax_number": "303-684-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JANELLE",
        "middle_name": "JOY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP10340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61605271",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vsi Providers PLLC (Centers for Sleep and Airway Medicine-Longmont)
• Ashley Vu, OD
• Mendee Wacker, RDH, BS
• Barbara Ann Wade, RN
• Vernie S Wade, DPT
• Mark Allen Wagner, M.P.T.
• Wal-Mart Stores, Inc. (Vision Center 30-5370)
• John M Walgast, DMD
• Walgreen Co (Walgreens #09598)
• Walgreen Co (Walgreens #11327)

• Family Nurse Practitioner in Longmont, CO
• Providers in Longmont, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.