SHELLEY E WAGNER (M.D.) – Family Medicine Physician, NPI 1700106739
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,754 FAMILY PRACTICE in AL
Provider Addresses for SHELLEY E WAGNER (M.D.)
43 WHITING HILL RD STE 300
BREWER, ME 044121006
Phone: (207) 973-5000
Fax: (207) 973-5042
Type: Mailing
850 5TH AVE E
TUSCALOOSA, AL 354017419
Phone: (205) 348-1770
Fax: (205) 348-5294
Type: Mailing
292 CLAIRMONT AVE
MONROEVILLE, AL 364602120
Phone: (205) 657-4500
Type: Mailing
2016 S ALABAMA AVE
MONROEVILLE, AL 364603044
Phone: (251) 743-7555
Fax: (251) 743-7548
Type: Location
895 UNION ST STE 12
BANGOR, ME 044013054
Phone: (207) 973-7979
Fax: (207) 947-9579
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 $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-06-12 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($19).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $19 |
| PFIZER INC. | $17 |
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: 2023-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20111121000829 | I | Family Practice | AL | 2023-11-30 |
| I20230616001843 | I | Family Practice | ME | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 04412)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ME | |
| Nurse Practitioner | ME | |
| Certified Registered Nurse Anesthetist (Crna) | ME | |
| Cardiovascular Disease (Cardiology) | ME | |
| Endocrinology, Internal Medicine | ME | |
| - | ME | |
| Nurse Practitioner | ME | |
| Thoracic Surgery | ME | |
| H O S P I T A L I S T | ME | |
| - | NJ |
Reviews
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