Dr Tracie Denie Johnson-wagner, PMHNP-BC in Phoenix, AZ

Dr Tracie Denie Johnson-wagner, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. She went to Rush Medical College Of Rush University and graduated in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 7330 N 16th St Ste C115, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (646) 941-7645.

Dr Tracie Denie Johnson-wagner is licensed to practice in Arizona (license number AP11024) 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 1578064382.

Contact Information

	Dr Tracie Denie Johnson-wagner, PMHNP-BC
	7330 N 16th St Ste C115, Phoenix, AZ 85020-8209
	(646) 941-7645
	(929) 596-7897

Map and Direction

Provider's Profile

Full Name	Dr Tracie Denie Johnson-wagner
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	7330 N 16th St Ste C115, Phoenix, Arizona
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:

Dr Tracie Denie Johnson-wagner attended and graduated from Rush Medical College Of Rush University in 2017

NPI Data:

NPI Number: 1578064382
Provider Enumeration Date: 02/27/2018
Last Update Date: 02/23/2026

Medicare PECOS Information:

PECOS PAC ID: 2769745280
Enrollment ID: I20250304001808

Medical Identifiers

Medical identifiers for Dr Tracie Denie Johnson-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578064382	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	C-RXN.0002422-C-NP (Colorado)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP11024 (Arizona)	Primary

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. Dr Tracie Denie Johnson-wagner allows following entities to bill medicare on her behalf.

Entity Name	Mile High Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760928766 PECOS PAC ID: 9032459656 Enrollment ID: O20190319000566

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. Dr Tracie Denie Johnson-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
Dr Tracie Denie Johnson-wagner, PMHNP-BC 7330 N 16th St Ste C115, Phoenix, AZ 85020-8209 Ph: () -	Dr Tracie Denie Johnson-wagner, PMHNP-BC 7330 N 16th St Ste C115, Phoenix, AZ 85020-8209 Ph: (646) 941-7645

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331
Ms. Aldijana Bjelobrkovic, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 N 19th Ave Ste 3, Phoenix, AZ 85015 Phone: 602-279-4975 Fax: 602-279-1108
James Bradley Craigo, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd Ste 300, Phoenix, AZ 85013 Phone: 602-406-8000 Fax: 602-406-3111

Dr Tracie Denie Johnson-wagner, PMHNP-BC - Medicare Nurse Practitioner in Phoenix, AZ