Ms Melissa Sue Wagner, ACNP in Bloomington, MN

Ms Melissa Sue Wagner, ACNP is a medicare enrolled "Nurse Practitioner" in Bloomington, Minnesota. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Park Nicollet Clinic and her current practice location is 8100 Northland Dr, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 831-8742.

Ms Melissa Sue Wagner is licensed to practice in Minnesota (license number 3805) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366763708.

Contact Information

	Ms Melissa Sue Wagner, ACNP
	8100 Northland Dr, Bloomington, MN 55431-4800
	(952) 831-8742
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Melissa Sue Wagner
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	8100 Northland Dr, Bloomington, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Melissa Sue Wagner graduated from nursing school in 2009

NPI Data:

NPI Number: 1366763708
Provider Enumeration Date: 06/21/2010
Last Update Date: 06/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8022205145
Enrollment ID: I20150522000815

Medical Identifiers

Medical identifiers for Ms Melissa Sue Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366763708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2010012196 (Missouri)	Secondary
363L00000X	Nurse Practitioner	3805 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Melissa Sue Wagner allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Melissa Sue Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Melissa Sue Wagner, ACNP 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Ms Melissa Sue Wagner, ACNP 8100 Northland Dr, Bloomington, MN 55431-4800 Ph: (952) 831-8742

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, MN

James Tutu Fiske I, DNP/PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3601 Minnesota Dr Ste 170, Bloomington, MN 55435 Phone: 844-994-3631
Mabel A Rohr, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Avenue South, Ms 26602g, Bloomington, MN 55425 Phone: 952-883-6805 Fax: 952-883-6117
Joan C Barnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8101 34th Ave S, Mc26602g, Bloomington, MN 55425 Phone: 952-883-6805 Fax: 952-883-6117
David Wells, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8100 Northland Dr., Bloomington, MN 55431 Phone: 952-831-8742
Kimberly C Bourassa, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1801 American Blvd E, Bloomington, MN 55425 Phone: 952-767-2267
Gillian Glass Schoenbauer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7901 Xerxes Ave S, Bloomington, MN 55431 Phone: 952-888-2024
Ashley Gilland, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5320 Hyland Greens Dr, Bloomington, MN 55437 Phone: 952-993-2400

Ms Melissa Sue Wagner, ACNP - Medicare Nurse Practitioner in Bloomington, MN