| Ashley E Wagner, CRNP | |
|
1850 E Park Ave, Ste 302, State College, PA 16803-6706 | |
| (814) 278-4680 | |
| (814) 235-1523 |
| Full Name | Ashley E Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1850 E Park Ave, State College, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962844985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP014206 (Pennsylvania) | Primary |
| 163W00000X | Registered Nurse | RN579355 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Pennsylvania Physician Alliance, Llc | 8325478662 | 96 |
| Entity Name | Eastern Pennsylvania Physician Alliance, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902440621 PECOS PAC ID: 8325478662 Enrollment ID: O20200428001935 |
| Entity Name | Aguavivir Sc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659017986 PECOS PAC ID: 1557742434 Enrollment ID: O20220725000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley E Wagner, CRNP 1850 E Park Ave, Ste 302, State College, PA 16803-6706 Ph: (814) 278-4680 | Ashley E Wagner, CRNP 1850 E Park Ave, Ste 302, State College, PA 16803-6706 Ph: (814) 278-4680 |
Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888 | |
Katy Nelson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980 | |
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492 | |
Melissa Kulbis, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Innovation Blvd, State College, PA 16803 Phone: 877-779-2429 | |
Megan Waite, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 | |
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Karen E. Cherinka, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954 |