Ms Nicole Wagner, APN is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Wauconda, Illinois. Her current practice location is
431 W Liberty St, Wauconda, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 526-2151.
Ms Nicole Wagner is licensed to practice in Illinois (license number 209004749) 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 1194968602.
Provider's Profile
| Full Name | Ms Nicole Wagner |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 431 W Liberty St, Wauconda, Illinois |
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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. |
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Medical Education and Training:
- Ms Nicole Wagner attended and graduated from in
NPI Data:
- NPI Number: 1194968602
- Provider Enumeration Date: 04/14/2009
- Last Update Date: 06/24/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Nicole Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194968602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 209004749 (Illinois) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 209004749 (Illinois) | 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. Ms Nicole 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 |
|---|
Ms Nicole Wagner, APN
Po Box 6037,
Wauconda, IL 60084
Ph: (847) 526-2151 | Ms Nicole Wagner, APN
431 W Liberty St,
Wauconda, IL 60084-2452
Ph: (847) 526-2151 |
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