Mitchel Wagner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.192524 Issued in OH

Practice address

5217 Monroe St
Toledo, OH 43623-4601

Phone

(844) 561-5433

Fax

(419) 214-0466

NPI assigned

Jul 29, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1912880758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 COUNTY ROAD L",
            "city": "DELTA",
            "state": "OH",
            "postal_code": "435159296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234601",
            "telephone_number": "844-561-5433",
            "fax_number": "419-214-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MITCHEL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.192524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis C Waggoner Noss, M.D.
• Sarah Waggoner
• Kalyan Wagle, MD
• Lori Wagner, OTR/L
• Michelle Lynn Wagner, CNP
• Nathan Lee Wagner, MD
• Robinette Wagner, MD
• Taelynn A Wagner, LSW
• Virginia R Wagner, R.D., L.D.
• Melissa Waidelich

• Licensed Practical Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.