ASHLEY WAGNER (CRNP) – Family Nurse Practitioner, NPI 1114395852
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ASHLEY WAGNER (CRNP)
PO BOX 746063
ATLANTA, GA 303746063
Phone: (312) 733-9730
Type: Mailing
1310 Washington St
Marion, AL 367563218
Phone: (334) 683-2073
Fax: (334) 683-2077
Type: Location
1303 Washington St
Marion, AL 36756
Phone: (120) 541-7705
Type: Location
633 Tuscaloosa Ave SW
Birmingham, AL 352111637
Phone: (205) 235-4003
Fax: (205) 941-8071
Type: Location
405 BELCHER ST
CENTREVILLE, AL 350422946
Phone: (205) 417-7053
Fax: (205) 926-4737
Type: Mailing
1303 WASHINGTON ST
MARION, AL 36756
Phone: (120) 541-7705
Type: Location
3302 15TH ST STE 100
TUSCALOOSA, AL 354012732
Phone: (205) 558-0877
Fax: (659) 219-7033
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($244).
Total Amount
$244
General + Research + Ownership
Payments
2
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $244 |
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: 2016-04-28
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 |
|---|---|---|---|---|
| I20160428001350 | I | Nurse Practitioner | AL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| P S Y C H I A T R Y | AL | |
| Nurse Practitioner | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL |
Reviews
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