GLAUCIA MARLI WAGNER (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083954440
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for GLAUCIA MARLI WAGNER (ARNP)
200 AVENUE F NE
WINTER HAVEN, FL 338814131
Phone: (863) 293-1121
Fax: (863) 294-7064
Type: Mailing
1201 1ST ST S
WINTER HAVEN, FL 338803904
Phone: (863) 293-1121
Fax: (863) 294-7064
Type: Location
1851 QUARLEY PL
HENDERSON, NV 890143875
Phone:
Type: Mailing
1701 W CHARLESTON BLVD STE 300
LAS VEGAS, NV 891022313
Phone: (702) 251-8000
Fax: (702) 471-0120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160906000432 | I | Nurse Practitioner | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 29 | $0 |
Insurance plans in this area (ZIP 33881)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| - | NV | |
| Clinical Social Worker | NV | |
| Physician Assistant | NV | |
| Clinical Social Worker | NV | |
| Clinical Social Worker | NV | |
| - | NV | |
| - | NV |
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