Individual provider Active NPI

Denise Lea Wagner, CNM

  • Advanced Practice Midwife
  • Beaufort, SC
National Provider Identifier
1831925072
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
29673 Issued in SC
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

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250212001193 SC Practitioner - Certified Nurse Midwife (CNM) 9234661083 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Jan 13, 2025 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.