MRS. SUSAN M WAGNER ARNP CRNP FNP-C NPI 1811514722

NPI Information

  • NPI: 1811514722
  • Provider Name: MRS. SUSAN M WAGNER, ARNP, CRNP, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4400 E HIGHWAY 20 STE 207
    NICEVILLE, FL
    ZIP 32578
  • Phone: (850) 806-2440

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NPI Details

MRS. Susan M Wagner, ARNP, CRNP, FNP-C is a family nurse practitioner in Niceville, FL with 5 years of experience. MRS. Susan M Wagner, ARNP, CRNP, FNP-C NPI is 1811514722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4400 E HIGHWAY 20 STE 207
NICEVILLE, FL
ZIP 32578-700
Phone: (850) 806-2440

The NPI 1811514722 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)

The enumeration date for this NPI number is 6/26/2020 and was last updated on 1/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics11007696FLORIDANo
2363LF0000XNurse PractitionerFamily1-097016ALABAMAYes
3363LF0000XNurse PractitionerFamily11007696FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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