Active NPI
Denise Lea Wagner, CNM
- Advanced Practice Midwife
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 29673
- Practice address
- 1264 Ribaut Rd Ste 200
Beaufort, SC 29902-6127 - Phone
- (843) 524-2466
- NPI assigned
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 29673 | SC | Primary |
| Nurse Practitioner | 363L00000X | 29673 | SC | |
| Advanced Practice Midwife | 367A00000X | B180151 | IA |
Addresses
Primary practice location
1264 Ribaut Rd Ste 200
Beaufort, SC 29902-6127
Mailing address
6300 Merle Hay Rd Unit 213
Johnston, IA 50131-1596
Phone (515) 452-6218
Other practice location 1
3509 E 29th St
Des Moines, IA 50317-4253
Phone (515) 248-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
721 N Okatie Hwy
Ridgeland, SC 29936-8276
721 Okatie Hwy
Okatie, SC 29909-3963
Phone (843) 987-7400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Current | Accepting new patients | |
| Beaufort Jasper Hampton Comprehensive Health Services, Inc | Current | Accepting new patients | |
| Beaufort-Jasper-Hampton Comprehensive Health Service Inc | Past | Accepting new patients |
Locations
1264 Ribaut Rd
Ste 200
Beaufort, SC 29902
Phone (843) 524-2466
721 Okatie Hwy
Okatie, SC 29909
721 N Okatie Hwy
#170
Ridgeland, SC 29936
721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EICIBD
Organizations & group practices 3
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.
-
dba BJHCHS, Inc.
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
-
dba Varnville Medical Center
- Federally Qualified Health Center (FQHC)
- Varnville, SC
- NPI 1073318259
-
dba Chelsea Health Center Pharmacy
- Community/Retail Pharmacy
- Okatie, SC
- NPI 1578607248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1831925072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 MERLE HAY RD UNIT 213",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311596",
"telephone_number": "515-452-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 RIBAUT RD STE 200",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026127",
"telephone_number": "843-524-2466"
}
],
"practiceLocations": [
{
"address_1": "3509 E 29th St",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503174253",
"country_code": "US",
"telephone_number": "515-248-1600",
"fax_number": "515-248-1610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGNER",
"first_name": "DENISE",
"middle_name": "LEA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "29673",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "29673",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IA",
"license": "B180151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
- Akacia Voorhies, LMSW
- Kyle Vossler
- Austin Joseph Voves, DDS
- Robert G Vyge, M.D.
- Stephen Michael Wade, DMD
- Philip Jon Wagner, DC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-7181)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1383)
- Wal-Mart Stores East, LP (Walmart Vision Center 30-7181)
- Wal-Mart Stores East, LP (Vision Center 30-1383)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.