BETH ELLEN WAGNER (DO) – Family Medicine Physician, NPI 1871720482

BETH ELLEN WAGNER (DO) is a healthcare provider. based in Barre, Vermont. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 5247 (AK). The NPI Number for BETH ELLEN WAGNER (DO) is 1871720482

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
BETH ELLEN WAGNER (DO)
NPI
1871720482
Phone
(802) 225-1743
Address
PO BOX 547
Enumeration Date
22 June 2009
Last Update Date
4 December 2014

Doctor Profile

Medical School Name
UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Secondary Phone
8023714235
Graduation Year
2009 (17 years ago)
PAC ID
1850541038
Group Practice PAC ID
9335138817
Professional Enrollment ID
I20131107000784
Address ID
VT056419004BA130XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:16State licenses:2Digital endpointsOther names

355 FAMILY PRACTICE in VT

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Provider Addresses for BETH ELLEN WAGNER (DO)

  • PO BOX 547

    ATT: CVMC FINANCE DEPT

    BARRE, VT 056410547

    Phone: (802) 225-1743

    Fax: (802) 225-1745

    Type: Mailing

  • Central Vermont Medical Center, 130, Fisher Road, Berlin, Washington County, Vermont, 05602, United States

    HOSPITALIST PROGRAM

    BERLIN, VT 056029516

    Phone: (802) 225-1743

    Fax: (802) 225-1745

    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: 2013-11-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131107000784IFamily PracticeVTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes167158$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12867$0
99291Critical care, first 30-74 minutes7453$0
99239Hospital discharge day management, more than 30 minutes4443$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2817$0
View full utilization report →

Insurance plans in this area (ZIP 05641)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335138817View full group profile
NameSpecialtyState
Nurse PractitionerVT
-VT
Orthopedic SurgeryVT
Nurse PractitionerVT
-VT
Physician AssistantVT
Nurse PractitionerVT
Nurse PractitionerVT
Nurse PractitionerVT
Physician AssistantVT

Reviews

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Frequently asked questions

How do payers reference BETH ELLEN WAGNER (DO)?
For BETH ELLEN WAGNER (DO), use NPI 1871720482 as the unique 10-digit identifier.
Is BETH ELLEN WAGNER (DO) shown as active in public data?
Registry records indicate BETH ELLEN WAGNER (DO) maintains an active NPI.
How would a patient describe BETH ELLEN WAGNER (DO)'s focus?
For BETH ELLEN WAGNER (DO), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is BETH ELLEN WAGNER (DO) located near Barre?
BETH ELLEN WAGNER (DO) currently maps to Barre, Vermont in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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