Lori J Wagner, FNP - Nurse Practitioner in Phoenix, AZ

Lori J Wagner, FNP is a Nurse Practitioner - Pediatrics based in Phoenix, Arizona. Lori J Wagner is licensed to practice in Arizona (license number AP4240) and her current practice location is 1919 E Thomas Rd, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 933-0920.

NPI number for Lori J Wagner is 1114202421 and her current mailing address is 3200 E Camelback Rd Ste 250, Phoenix, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114202421.

Contact Information

Lori J Wagner, FNP
1919 E Thomas Rd,
Phoenix, AZ 85016-7710
(602) 933-0920
(602) 933-2492

Map and Direction




Provider's Profile

Full NameLori J Wagner
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114202421
  • Provider Enumeration Date: 10/18/2011
  • Last Update Date: 03/30/2018

Medical Identifiers

Medical identifiers for Lori J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114202421NPI-NPPES
668941MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics AP4240 (Arizona)Primary

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. Lori J Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lori J Wagner, FNP
3200 E Camelback Rd Ste 250,
Phoenix, AZ 85018-2327

Ph: (602) 933-1814
Lori J Wagner, FNP
1919 E Thomas Rd,
Phoenix, AZ 85016-7710

Ph: (602) 933-0920

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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