Erin Able Wagner, MPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05915 Issued in NC

Practice address

17078 Nat Bynum LN Unit 3
Cornelius, NC 28031-0507

Phone

(704) 324-3975

Fax

(704) 324-3974

NPI assigned

Jul 1, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 44)

Interoperability endpoints

• Direct secure messaging: ewagner402465@direct.novanthealth.org

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.

• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1760950646
  Medicare reassignment Care Compare group
• Novant Health Medical Group, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Medicare reassignment
• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment
• Novant Health Medical Group, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1891764320
  Medicare reassignment
• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Asheville, NC
  • NPI 1235014796
  NPD
• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Greensboro, NC
  • NPI 1508741067
  NPD
• Novant Health Medical Group LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Monroe, NC
  • NPI 1952821381
  NPD
• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1093976474
  NPD
• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Lewisville, NC
  • NPI 1154011765
  NPD
• Novant Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Carolina Medicorp Enterprises Inc

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1417497504
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1821250671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843",
            "telephone_number": "704-324-3975",
            "fax_number": "704-324-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17078 NAT BYNUM LN UNIT 3",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280310507",
            "telephone_number": "704-324-3975",
            "fax_number": "704-324-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19485 Old Jetton Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cornelius",
            "state": "NC",
            "postal_code": "280316583",
            "country_code": "US",
            "telephone_number": "704-384-1775",
            "fax_number": "704-384-1776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9121 Sam Furr Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280788235",
            "country_code": "US",
            "telephone_number": "704-324-3590",
            "fax_number": "704-324-3591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ERIN",
        "middle_name": "ABLE",
        "credential": "MPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewagner402465@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "17078 Nat Bynum Ln Unit 3",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280310507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Village Counseling, PLLC
• Jesus Raymundo Villanueva
• Mark Vincent, M.D.
• Jamie Tanner Vlasic, DNP, WHNP-BC, MSCP
• Moira Vowells
• Pamela Lou Wagner, LPC
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Physician Assistant in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.