Shana L Wagner, MSN, FNP-BC - Medicare Nurse Practitioner in Sheboygan Falls, WI

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Shana L Wagner, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Sheboygan Falls, Wisconsin. Her current practice location is W2850 State Road 28, Sheboygan Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 467-1800.

Shana L Wagner is licensed to practice in Wisconsin (license number 4381) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699072140.

Contact Information

Shana L Wagner, MSN, FNP-BC
W2850 State Road 28,
Sheboygan Falls, WI 53085-2702
(920) 467-1800
(920) 467-1900

Map and Direction




Provider's Profile

Full NameShana L Wagner
GenderFemale
SpecialityNurse Practitioner - Family
LocationW2850 State Road 28, Sheboygan Falls, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699072140
  • Provider Enumeration Date: 02/18/2011
  • Last Update Date: 01/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769660885
  • Enrollment ID: I20110620000639

Medical Identifiers

Medical identifiers for Shana L Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699072140NPI-NPPES
100014290MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 142621 (Wisconsin)Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine 4381 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 4381 (Wisconsin)Primary

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. Shana L Wagner allows following entities to bill medicare on her behalf.
Entity NameSharon S Richardson Hospice Home Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598855207
PECOS PAC ID: 8729086152
Enrollment ID: O20070213000012

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. Shana L 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 AddressPractice Location Address
Shana L Wagner, MSN, FNP-BC
W2850 State Road 28,
Sheboygan Falls, WI 53085-2702

Ph: (920) 467-1800		Shana L Wagner, MSN, FNP-BC
W2850 State Road 28,
Sheboygan Falls, WI 53085-2702

Ph: (920) 467-1800

Reviews and Comments


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Phone: 920-467-1800    Fax: 920-467-1900
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Phone: 920-496-4700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.