Ruth Hattie Wagner, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-087424 Issued in AL

Practice address

3715 Dauphin St Ste 4400
Mobile, AL 36608-1727

Phone

(251) 607-9797

Fax

(251) 607-7696

NPI assigned

Jul 30, 2019

Last updated

Jul 30, 2019By 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

Medicare fee-for-service enrollment

Enrolled in AL

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Associates of Mobile IncGroup PAC ID 5496640229, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.cardassoc.com/R4/open-R4
• Direct secure messaging: ruthwagner@cam.allscriptsdirect.net

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.

• Cardiology Associates of Mobile Inc

  dba Cardiology Associates / Eastern Shore Internal Medicine

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1861666711
  Medicare reassignment Care Compare group NPD
• Cardiology Associates of Mobile Inc

  dba Cardiology Associates

  • Cardiovascular Disease Physician
  • Mobile, AL
  • NPI 1689623076
  NPD

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

• Springhill Hospitals, Inc

  dba Springhill Memorial Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1003814971
  Care Compare affiliation

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1821642687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST STE 4400",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081727",
            "telephone_number": "251-607-9797",
            "fax_number": "251-607-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RUTH",
        "middle_name": "HATTIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-087424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Harris Wade, FNP-C
• Deena Wafadari R, M.D.
• Anna Waggener, LPC
• Daniel Jay Wagner, MD
• Patti Ann Wagner
• Donald W Wagnon Jr., M.D.
• Chia Kiryan Wain
• Samantha K Waite
• Kaaliyah Waiters
• Allison Waits, DPT

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.