BETTY J WAGNER (NP) – Nurse Practitioner, NPI 1619997731

BETTY J WAGNER (NP) is a healthcare provider. based in Indianapolis, Indiana. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 71000881A (IN). The NPI Number for BETTY J WAGNER (NP) is 1619997731

Main info

Female
41 Years Of Experience
Name
BETTY J WAGNER (NP)
NPI
1619997731
Phone
(317) 841-6552
Address
6910 HILLSDALE CT
Enumeration Date
20 July 2006
Last Update Date
14 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178425771
Graduation Year
1985 (41 years ago)
PAC ID
1658394317
Group Practice PAC ID
5294821989
Professional Enrollment ID
I20060109000443
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for BETTY J WAGNER (NP)

  • 6910, Hillsdale Court, Indianapolis, Indiana, 46250, United States

    INDIANAPOLIS, IN 462502040

    Phone: (317) 841-6552

    Fax: (317) 841-6160

    Type: Location

  • 250, West Queen Street, Forest Hills, Pendleton, Anderson County, South Carolina, 29670, United States

    PENDLETON, IN 460648760

    Phone: (317) 339-6661

    Fax: (765) 778-0314

    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.

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 46250)

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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: 5294821989View full group profile
NameSpecialtyState
DR. ROGER G. SPAHR (M.D.)
-IN

Reviews

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Frequently asked questions

What unique ID ties claims to BETTY J WAGNER (NP)?
NPI 1619997731 is assigned to BETTY J WAGNER (NP) under the national enumeration system.
Does this profile mean BETTY J WAGNER (NP) is currently active?
Yes — BETTY J WAGNER (NP) appears active in the national provider directory.
Does BETTY J WAGNER (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for BETTY J WAGNER (NP). Clinical services aligned with this taxonomy classification.
Where is BETTY J WAGNER (NP)'s primary listing?
We display Indianapolis, Indiana because that is what the record indicates for BETTY J WAGNER (NP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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