MRS. CAROLYN WAGNER (NP) – Family Nurse Practitioner, NPI 1366419087

MRS. CAROLYN WAGNER (NP) is a healthcare provider. based in Decatur, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 209-001389 (IL). The NPI Number for MRS. CAROLYN WAGNER (NP) is 1366419087

Main info

Female
Name
MRS. CAROLYN WAGNER (NP)
NPI
1366419087
Phone
(217) 429-9700
Address
1770 E LAKE SHORE DR
Enumeration Date
1 March 2006
Last Update Date
10 March 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MRS. CAROLYN WAGNER (NP)

  • 1770, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States

    SUITE 207

    DECATUR, IL 625213832

    Phone: (217) 429-9700

    Fax: (217) 429-9702

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62521)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does MRS. CAROLYN WAGNER (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. CAROLYN WAGNER (NP) uses 1366419087.
Can I rely on MRS. CAROLYN WAGNER (NP) being an active provider?
As of the registry snapshot, MRS. CAROLYN WAGNER (NP) is marked active.
What is MRS. CAROLYN WAGNER (NP)'s specialty?
The listing groups MRS. CAROLYN WAGNER (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. CAROLYN WAGNER (NP) list a practice location?
Patients near Decatur, Illinois may find MRS. CAROLYN WAGNER (NP) in results; validate coverage separately.
Is the information about MRS. CAROLYN WAGNER (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

MRS. PATRICIA E CARR (FNP)

Family Nurse Practitioner
Decatur Memorial Hospital, 2300, North Edward Street, Old King's Orchard, Decatur, Macon County, Illinois, 62526, United States
NPI: 1104822568

MRS. CAROL ANN GOETZ (FNP-C)

Family Nurse Practitioner
800 EAST CARPENTER STREE
NPI: 1255322764

MS. JENNIFER LYNN STERN (APN CNP)

Family Nurse Practitioner
Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States
NPI: 1679558985
3131, North Water Street, Decatur, Macon County, Illinois, 62526, United States
NPI: 1265418313

MRS. JUDY ANN MINTON (CNP)

Family Nurse Practitioner
656, West Waterford Lane, Decatur, Macon County, Illinois, 62526, United States
NPI: 1326010463

MS. THERESA DETERS (NP)

Family Nurse Practitioner
845 S ROUTE 51
NPI: 1891762530

BYRLE BRUNTON (NP)

Family Nurse Practitioner
3131, North Water Street, Decatur, Macon County, Illinois, 62526, United States
NPI: 1609885292

MRS. KERRI ANN DIXON (APN)

Family Nurse Practitioner
East Mound Road, Decatur, Macon County, Illinois, 62521, United States
NPI: 1518978972

JENNIFER ANN CHOATIE (FNP-BC)

Family Nurse Practitioner
1025, South 6th Street, South Town, Springfield, Sangamon County, Illinois, 62703, United States
NPI: 1720090772