NPIMap

Individual provider Active NPI

Emily E Wagner, CRNP

  • Adult Health Nurse Practitioner
  • Monroeville, PA
National Provider Identifier
1811471709
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP019223 Issued in PA
Practice address
2626 Haymaker Rd FL 2
Monroeville, PA 15146-3516
Phone
(412) 373-4411
Fax
(412) 373-4677
NPI assigned
Sep 18, 2018
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP019223 PA Primary

Addresses

Primary practice location

2626 Haymaker Rd FL 2
Monroeville, PA 15146-3516

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861
Phone (412) 622-0290

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ewagner189343@direct.ahn.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181029001448 PA Practitioner - Nurse Practitioner 6709139371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny Clinic Medical OncologyGroup PAC ID 9739077561, 97 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111
Phone (724) 543-8657

100 S Jackson Ave
Pittsburgh, PA 15202-3428
Phone (412) 939-3090

12311 Perry Hwy
Suite a
Wexford, PA 15090-8344
Phone (878) 332-4044

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.53 of 100Reported as group
Quality
73.42
Promoting interoperability
100
Improvement activities
40
Cost
47.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019223PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Medical Oncology CurrentSince Oct 1, 2018 Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

2580 Haymaker Rd
Ste 404
Monroeville, PA 15146
Phone (412) 373-4411

247 Morewood Ave
Pittsburgh, PA 15213
Phone (412) 622-0290

Interoperability endpoints

  • Direct secure messaging: ewagner189343@direct.ahn.org

Organizations & group practices 2

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 10

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1811471709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-622-0290",
            "fax_number": "412-681-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 HAYMAKER RD FL 2",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463516",
            "telephone_number": "412-373-4411",
            "fax_number": "412-373-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP019223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewagner189343@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2626 Haymaker Rd Fl 2",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.