Kate Wagner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3840 Issued in FL

Practice address

12670 New Brittany Blvd
Ste 102
Fort Myers, FL 33907-3650

Phone

(239) 936-2020

Fax

(239) 936-2776

NPI assigned

Mar 23, 2006

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

E Trevor Elmquist D O P aGroup PAC ID 4284731829, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score

92.28 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.28

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• E Trevor Elmquist D O P a

  dba Elmquist Eye Group

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1750437786
  Medicare reassignment Care Compare group NPD

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

• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1861451155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 NEW BRITTANY BLVD",
            "address_2": "STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073650",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 NEW BRITTANY BLVD",
            "address_2": "STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073650",
            "telephone_number": "239-936-2020",
            "fax_number": "239-936-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KATE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi H Wade, ARNP, CNM
• Stacy Wade, NP
• Hussein Wafapoor, M.D.
• Victoria Wagenknecht, PA-C
• Correna Kaye Wagner, MS
• Megan Elisabeth Wagner, OTD, OTR/L
• Judith Mary Wagoner, NP
• Nicole Carr Kimberling Wahler, PA-C
• Vanessa Waich
• Samantha Waite, COTA

• Optometrist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.