MRS. BETH ANN WAGNER (CRNP) – Nurse Practitioner, NPI 1205440138
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
Provider Addresses for MRS. BETH ANN WAGNER (CRNP)
2608 KEISER BLVD
WYOMISSING, PA 196103333
Phone: (610) 685-5864
Type: Mailing
1444 E MAIN ST
DOUGLASSVILLE, PA 195189116
Phone: (610) 496-5696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 181 Open Payments records for all available years, with a total value of $4,150.
Total Amount is formed as General ($4,150) + Research ($0) + Ownership ($0) = $4,150.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($700).
Total Amount
$4,150
General + Research + Ownership
Payments
181
Total payment records
General Amount
$4,150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $700 |
| Regeneron Healthcare Solutions, Inc. | $449 |
| AstraZeneca Pharmaceuticals LP | $414 |
| GENZYME CORPORATION | $311 |
| HARMONY BIOSCIENCES LLC | $186 |
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: 2022-03-23
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 |
|---|---|---|---|---|
| I20220323000876 | I | Nurse Practitioner | PA | 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 |
|---|---|---|---|---|
| 96160 | Administration and interpretation of patient-focused health risk assessment | 261 | 188 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 116 | 116 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 19610)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Critical Care (Intensivists), Pulmonary Disease | PA | |
| Internal Medicine | PA | |
| Critical Care (Intensivists), Pulmonary Disease | PA | |
| Hospitalist, Internal Medicine | PA |
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