Kimberly Dawn Wagner, FNP-BC - Medicare Nurse Practitioner in Crossville, TN

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Kimberly Dawn Wagner, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Crossville, Tennessee. Her current practice location is 100 Lantana Rd Ste 202, Crossville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 484-5141.

Kimberly Dawn Wagner is licensed to practice in Tennessee (license number 34905) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861266017.

Contact Information

Kimberly Dawn Wagner, FNP-BC
100 Lantana Rd Ste 202,
Crossville, TN 38555-1903
(931) 484-5141
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Dawn Wagner
GenderFemale
SpecialityNurse Practitioner - Family
Location100 Lantana Rd Ste 202, Crossville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861266017
  • Provider Enumeration Date: 11/08/2023
  • Last Update Date: 01/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577909118
  • Enrollment ID: I20240306001242

Medical Identifiers

Medical identifiers for Kimberly Dawn Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861266017NPI-NPPES
Q090212MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 34905 (Tennessee)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. Kimberly Dawn Wagner allows following entities to bill medicare on her behalf.
Entity NameCovenant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457302010
PECOS PAC ID: 2860305463
Enrollment ID: O20060719000030
Entity NameSegue Health Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073040556
PECOS PAC ID: 5496020521
Enrollment ID: O20171006001746
Entity NameIris Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851025902
PECOS PAC ID: 0648653360
Enrollment ID: O20220812002453
Entity NameLas Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225815830
PECOS PAC ID: 3971957150
Enrollment ID: O20240730002277

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. Kimberly Dawn 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 AddressPractice Location Address
Kimberly Dawn Wagner, FNP-BC
100 Lantana Rd Ste 202,
Crossville, TN 38555-1903

Ph: (931) 484-5141		Kimberly Dawn Wagner, FNP-BC
100 Lantana Rd Ste 202,
Crossville, TN 38555-1903

Ph: (931) 484-5141

Reviews and Comments


Nurse Practitioner Nurses in Crossville, TN

Lisa Marie Coontz,
Nurse Practitioner
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Practice Location: 421 S Main St, Crossville, TN 38555
Phone: 865-675-7522    Fax: 865-671-3196
Dustin J Moss,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 229 Interstate Dr, Suite 103, Crossville, TN 38555
Phone: 931-210-5577    Fax: 931-210-5575
Mrs. Linnea Desiree Marchand, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 13 Bob Tollett Loop, Crossville, TN 38555
Phone: 931-456-6057    Fax: 833-989-2530
Kyle Jeffrey Charnley, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 665 N Main St, Crossville, TN 38555
Phone: 931-337-0510    
Elena Cravens, APN-NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Lantana Rd Ste 202, Crossville, TN 38555
Phone: 931-484-5141    Fax: 865-374-2074
Whitney Coffey,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1503 S Main St, Crossville, TN 38555
Phone: 931-528-7531    
Robbie R. Smith, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Lantana Rd Ste 202, Crossville, TN 38555
Phone: 931-484-5141    Fax: 865-374-2074

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.