MATTHEW WAGNER – Family Nurse Practitioner, NPI 1053785840
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MATTHEW WAGNER
210 9th St SE
Rochester, MN 559046756
Phone: (507) 288-3443
Type: Location
1200 GRANT BLVD W
WABASHA, MN 559811042
Phone: (651) 565-5600
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160122000332 | I | Nurse Practitioner | MN | TBD |
| I20181213002408 | I | Nurse Practitioner | WI | 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 |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 216 | 54 | $0 |
Insurance plans in this area (ZIP 55904)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WI | |
| Family Practice | MN | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | WI | |
| Diagnostic Radiology | WI | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology) | NY | |
| Psychiatry, Geriatric Psychiatry | MN | |
| Emergency Medicine | MN | |
| Diagnostic Radiology | WI | |
| Nurse Practitioner | MN | |
| Family Practice | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.