Melissa Dalton Wagner, APRN - Medicare Nurse Practitioner in Petersburg, VA

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Melissa Dalton Wagner, APRN is a medicare enrolled "Nurse Practitioner - Family" in Petersburg, Virginia. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Science Hill Family Care and her current practice location is 34 Medical Park Blvd, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 609-0175.

Melissa Dalton Wagner is licensed to practice in Virginia (license number 0024184994) 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 1174992382.

Contact Information

Melissa Dalton Wagner, APRN
34 Medical Park Blvd,
Petersburg, VA 23805-9283
(804) 609-0175
(804) 835-5999

Map and Direction




Provider's Profile

Full NameMelissa Dalton Wagner
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location34 Medical Park Blvd, Petersburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melissa Dalton Wagner graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1174992382
  • Provider Enumeration Date: 09/17/2015
  • Last Update Date: 12/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6709170343
  • Enrollment ID: I20160810000772

Medical Identifiers

Medical identifiers for Melissa Dalton Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174992382NPI-NPPES
3009798OtherKYAPRN LICENSE NUMBER
7100385910MedicaidKY
F0915844OtherAANP CERTIFICATION NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024184994 (Virginia)Primary
363LF0000XNurse Practitioner - Family 3009798 (Kentucky)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Science Hill Family Care650713213115

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. Melissa Dalton Wagner allows following entities to bill medicare on her behalf.
Entity NameAlbaree Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730232182
PECOS PAC ID: 5991735391
Enrollment ID: O20050816000475
Entity NameEastern Kentucky Tender Care Pediatrics, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043437254
PECOS PAC ID: 9537264262
Enrollment ID: O20110311000572
Entity NameFrontier Behavioral Health Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295287118
PECOS PAC ID: 7911284302
Enrollment ID: O20170512001552
Entity NameSamaritan Family Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629536206
PECOS PAC ID: 8921331117
Enrollment ID: O20190603001286
Entity NameFrontier Medical Associates Of Paintsville Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568070142
PECOS PAC ID: 2961820337
Enrollment ID: O20200916002859

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. Melissa Dalton 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
Melissa Dalton Wagner, APRN
34 Medical Park Blvd,
Petersburg, VA 23805-9283

Ph: (804) 609-0175		Melissa Dalton Wagner, APRN
34 Medical Park Blvd,
Petersburg, VA 23805-9283

Ph: (804) 609-0175

Reviews and Comments


Nurse Practitioner Nurses in Petersburg, VA

Olivia Houchins, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805
Phone: 804-861-0700    
Rasha Kafi, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 263 Medical Park Blvd, Petersburg, VA 23805
Phone: 804-431-1100    Fax: 804-862-1094
Linda P. Whiteley, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Halifax St, Petersburg, VA 23803
Phone: 804-862-1652    
Jocelyn L Burls, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    
Chiquita Michone Thomas-jackson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3916 S Crater Rd, Petersburg, VA 23805
Phone: 804-526-4300    
Ms. Erica Lynn Bagby, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    Fax: 804-733-3506

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.