Angela Michelle Wagner, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Cincinnati, Ohio. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Cincinnati Physicians Company Llc and her current practice location is
3120 Burnet Ave Fl 3, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 585-7700.
Angela Michelle Wagner is licensed to practice in Ohio (license number APRNCNP0234) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679032163.
Provider's Profile
Full Name | Angela Michelle Wagner |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 3120 Burnet Ave Fl 3, Cincinnati, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Angela Michelle Wagner graduated from nursing school in 2018
NPI Data:
- NPI Number: 1679032163
- Provider Enumeration Date: 03/14/2019
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860825833
- Enrollment ID: I20200824000497
Medical Identifiers
Medical identifiers for Angela Michelle Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679032163 | NPI | - | NPPES |
2018009202 | Other | | ANCC - BOARD CERTIFICATION |
APRN.CNP.023469 | Other | OH | OHIO BOARD OF NURSING ADVANCED PRACTICE LICENSE |
5011542 | Other | NC | NORTH CAROLINA STATE BOARD OF NURSING - ADVANCED PRACTICE LICENSE # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.023469 (Ohio) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5011542 (North Carolina) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | APRNCNP0234 (Ohio) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Cincinnati Physicians Company Llc | 2264344480 | 1336 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Michelle Wagner allows following entities to bill medicare on her behalf.
Entity Name | University Of Cincinnati Physicians Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
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Entity Name | Psychological & Behavioral Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
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Entity Name | Central Clinic Inc Mental Health Access Point |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881607471 PECOS PAC ID: 8123396520 Enrollment ID: O20170607001494 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Michelle Wagner is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Angela Michelle Wagner, PMHNP-BC 1577 Canterbury Ct, Lebanon, OH 45036-4086 Ph: (513) 509-1546 | Angela Michelle Wagner, PMHNP-BC 3120 Burnet Ave Fl 3, Cincinnati, OH 45229-3091 Ph: (513) 585-7700 |
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