RANDI L WAGNER (APNP) – Family Nurse Practitioner, NPI 1205410040
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for RANDI L WAGNER (APNP)
342 N WATER ST STE 600
MILWAUKEE, WI 532025715
Phone: (651) 342-1039
Fax: (651) 342-1428
Type: Mailing
270 MAIN ST N STE 300
STILLWATER, MN 550826788
Phone: (651) 342-1039
Fax: (651) 342-1428
Type: Mailing
4001 N WEDGEWOOD DR STE 6
APPLETON, WI 549137129
Phone: (651) 505-6807
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-02-29 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($119).
Total Amount
$119
General + Research + Ownership
Payments
1
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $119 |
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: 2021-05-21
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 |
|---|---|---|---|---|
| I20210521002076 | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 355 | 95 | $0 |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 77 | 25 | $0 |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 38 | 14 | $0 |
| 99494 | Psychiatric collaborative care management per calendar month, each additional 30 minutes | 28 | 13 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 16 | 12 | $0 |
Insurance plans in this area (ZIP 53202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | MN | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | MN | |
| Pediatric Medicine, Internal Medicine | WI | |
| Family Practice | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | MN |
Reviews
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