Michael David Wagner, MS, RN, CNP, PMHNPBC - Nurse Practitioner in Clarksburg, MD

Michael David Wagner, MS, RN, CNP, PMHNPBC is a Nurse Practitioner - Psychiatric/mental Health based in Clarksburg, Maryland. Michael David Wagner is licensed to practice in Maryland (license number R247240) and his current practice location is 13719 Lapwing Way, Clarksburg, Maryland. He can be reached at his office (for appointments etc.) via phone at (507) 696-2157.

NPI number for Michael David Wagner is 1699384958 and his current mailing address is 13719 Lapwing Way, Clarksburg, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699384958.

Contact Information

Michael David Wagner, MS, RN, CNP, PMHNPBC
13719 Lapwing Way,
Clarksburg, MD 20871-3401
(507) 696-2157
Not Available

Map and Direction




Provider's Profile

Full NameMichael David Wagner
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location13719 Lapwing Way, Clarksburg, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699384958
  • Provider Enumeration Date: 07/23/2020
  • Last Update Date: 08/25/2025

Medical Identifiers

Medical identifiers for Michael David Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699384958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 191995-4 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 7558 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R247240 (Maryland)Primary

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. Michael David Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael David Wagner, MS, RN, CNP, PMHNPBC
13719 Lapwing Way,
Clarksburg, MD 20871-3401

Ph: (507) 696-2157
Michael David Wagner, MS, RN, CNP, PMHNPBC
13719 Lapwing Way,
Clarksburg, MD 20871-3401

Ph: (507) 696-2157

Reviews and Comments


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