SAVAHANNA LIEN WAGNER – Internal Medicine Physician, NPI 1205332699
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,638 INTERNAL MEDICINE in MN
Provider Addresses for SAVAHANNA LIEN WAGNER
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone:
Type: Mailing
640 JACKSON ST
SAINT PAUL, MN 551012502
Phone: (952) 967-7977
Fax: (651) 254-9673
Type: Location
8414, Naab Road, Indianapolis, Indiana, 46260, United States
INDIANAPOLIS, IN 462601972
Phone: (317) 338-7539
Type: Location
8414 Naab Rd
Indianapolis, IN 462601972
Phone: (317) 338-7539
Type: Location
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.
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: 2022-05-11
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 |
|---|---|---|---|---|
| I20210726001760 | I | Internal Medicine | MN | TBD |
| I20220511001795 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 64 | 63 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 19 | 18 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 14 | 11 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 14 | 12 | $0 |
| G0427 | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth | 12 | 12 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Internal Medicine | MN | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Hospitalist, Internal Medicine | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Internal Medicine | OR | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Internal Medicine | MN |
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