HALEY ELIZABETH WAGNER (MSN, APRN, FNP-C) – Family Nurse Practitioner, NPI 1073398624
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,387 NURSE PRACTITIONER in KY
Provider Addresses for HALEY ELIZABETH WAGNER (MSN, APRN, FNP-C)
431 REDDING RD STE 140
LEXINGTON, KY 405172551
Phone: (859) 226-2500
Fax: (859) 280-2595
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $178.
Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($121).
Total Amount
$178
General + Research + Ownership
Payments
4
Total payment records
General Amount
$178
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $121 |
| Exact Sciences Corporation | $37 |
| Bayer Healthcare Pharmaceuticals Inc. | $20 |
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: 2023-11-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20231111000603 | I | Nurse Practitioner | KY | 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 40517)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | KY | |
| Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology), Nuclear Medicine, Peripheral Vascular Disease, Peripheral Vascular Disease | KY | |
| P O D I A T R Y | FL | |
| Diagnostic Radiology | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Internal Medicine | KY | |
| Physician Assistant | KY | |
| - | KY | |
| Internal Medicine | KY |
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