PAULA J WAGNER (APN) – Family Nurse Practitioner, NPI 1124331152

Family Nurse Practitioner

PAULA J WAGNER (APN) is a healthcare provider. based in Mokena, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials APN. They hold a License No. 209008086 (IL). The NPI Number for PAULA J WAGNER (APN) is 1124331152

Main info

Female

17 Years Of Experience

Accepts Medicare Assignment

Name

PAULA J WAGNER (APN)

NPI

1124331152

Phone

(312) 343-1398

Address

11200 Lincoln Hwy

Enumeration Date

19 July 2010

Last Update Date

27 January 2019

Doctor Profile

Medical School Name

UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)

Secondary Phone

8663892727

Graduation Year

2009 (17 years ago)

PAC ID

8820285950

Group Practice PAC ID

8729171566

Professional Enrollment ID

I20101215000124

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience44

Completeness75

Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for PAULA J WAGNER (APN)

11200 Lincoln Hwy
Mokena, IL 604488208
Phone: (312) 343-1398
Type: Location
6150 N BROADWAY ST
CHICAGO, IL 606602538
Phone: (866) 389-2727
Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 60448)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 8729171566View full group profile

Name	Specialty	State
MRS. SHONDA LYNN FARRIS (RN, MSN, FNP-BC)	Nurse Practitioner	IL
MICHELLE J BATOR (APRN, CNP)	Nurse Practitioner	IL
SILVIJA REZO (NURSE PRACTITIONER)	Nurse Practitioner	IL
MARIA DOMINIQUE PIROTTE (DNP, RN)	Nurse Practitioner	IL
MARION S KOLAR (MSN, RN, FNP-BC)	-	IL
AMANDA HIESTAND (APN)	-	FL
MRS. MORGAN TIFFANY LESIEWICZ (APN)	-	IL
JEZZICA LEIGH CHUM (FNP-BC)	-	IL
ZAHRA JIWANI (RN, FNP-BC)	-	IL
NATASHA OBRADOVIC (APN-CNP)	Nurse Practitioner	IL