Ali E Wagner, FNP-C is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Lovell, Wyoming. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Big Horn Hospital District and her current practice location is
1115 Lane 12, Lovell, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 548-5201.
Ali E Wagner is licensed to practice in Wyoming (license number 45489) 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 1558993261.
Provider's Profile
| Full Name | Ali E Wagner |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 1115 Lane 12, Lovell, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ali E Wagner graduated from nursing school in 2019
NPI Data:
- NPI Number: 1558993261
- Provider Enumeration Date: 02/11/2020
- Last Update Date: 02/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 0446681753
- Enrollment ID: I20200520000950
Medical Identifiers
Medical identifiers for Ali E Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558993261 | NPI | - | NPPES |
| F01200522 | Other | | AANP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F01200522 (New Mexico) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 45489 (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Big Horn Hospital District | 1456269869 | 20 |
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. Ali E Wagner allows following entities to bill medicare on her behalf.
| Entity Name | North Big Horn Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750485793
PECOS PAC ID: 1456269869
Enrollment ID: O20040610001662 |
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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. Ali E 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 |
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Ali E Wagner, FNP-C
1115 Lane 12,
Lovell, WY 82431-9537
Ph: (307) 548-5201 | Ali E Wagner, FNP-C
1115 Lane 12,
Lovell, WY 82431-9537
Ph: (307) 548-5201 |
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