ANGELA MICHELLE WAGNER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679032163
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for ANGELA MICHELLE WAGNER (PMHNP-BC)
Alliance Road, CIC Industrial Park, Blue Ash, Hamilton County, Ohio, 45242, United States
BLUE ASH, OH 452424754
Phone: (513) 975-4673
Fax: (513) 891-2838
Type: Mailing
7723 TYLERS PLACE BLVD # 215
WEST CHESTER, OH 450694684
Phone: (513) 360-8089
Fax: (949) 703-8469
Type: Mailing
SR 28, Milford, Clermont County, Ohio, 45150, United States
MILFORD, OH 451504000
Phone: (513) 833-2170
Fax: (513) 964-9670
Type: Location
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 $50.
Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.
Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($29).
Total Amount
$50
General + Research + Ownership
Payments
3
Total payment records
General Amount
$50
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $29 |
| Janssen Biotech, Inc. | $22 |
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: 2020-08-24
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 |
|---|---|---|---|---|
| I20200824000497 | I | Nurse Practitioner | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 48 | 13 | $0 |
Insurance plans in this area (ZIP 45242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | KY | |
| Clinical Social Worker | OH | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | OH |
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