MRS. KATHRYN JANE WAGNER (FNP-C) – Nurse Practitioner, NPI 1750806097
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. KATHRYN JANE WAGNER (FNP-C)
6 Mile Road, Livonia, Wayne County, Michigan, 48239, United States
LIVONIA, MI 481523603
Phone: (248) 762-5915
Type: Location
29911 6 Mile Rd
Livonia, MI 481523603
Phone: (248) 762-5915
Type: Location
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 483365919
Phone: (248) 798-3107
Type: Location
East 14 Mile Road, Sterling Heights, Macomb County, Michigan, 48312, United States
STERLING HEIGHTS, MI 483126304
Phone: (586) 977-3900
Fax: (586) 977-6084
Type: Mailing
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 480333849
Phone:
Fax: (586) 977-6084
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,750.
Total Amount is formed as General ($1,750) + Research ($0) + Ownership ($0) = $1,750.
Last reported payment date: 2024-01-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,750).
Total Amount
$1,750
General + Research + Ownership
Payments
3
Total payment records
General Amount
$1,750
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,750 |
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: 2017-09-20
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 |
|---|---|---|---|---|
| I20170920000917 | I | Nurse Practitioner | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 48152)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI |
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