| Mrs Kristin Diane Wagner, APRN | |
|
915 W Maple, Columbus, KS 66725 | |
| (620) 429-4988 | |
| (620) 429-4978 |
| Full Name | Mrs Kristin Diane Wagner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 915 W Maple, Columbus, Kansas |
| 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 |
|---|---|---|---|
| 1205105624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53-75551-21 (Kansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2013007658 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Town Health Care Llc | Fredonia, KS | Home health agency |
| Mercy Specialty Hospital Southeast Kansas | Galena, KS | Hospital |
| Mercy Hospital Joplin | Joplin, MO | Hospital |
| Mercy Hospital Columbus | Columbus, KS | Hospital |
| Mercy Hospital Carthage | Carthage, MO | Hospital |
| Via Christi Hospital Pittsburg Inc | Pittsburg, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 82 |
| Mcpherson Medical And Diagnostic Llc | 5698773539 | 82 |
| Entity Name | Mcpherson Medical & Diagnostic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003407883 PECOS PAC ID: 5698773539 Enrollment ID: O20061201000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristin Diane Wagner, APRN 915 W Maple St, Columbus, KS 66725-1508 Ph: (417) 310-9286 | Mrs Kristin Diane Wagner, APRN 915 W Maple, Columbus, KS 66725 Ph: (620) 429-4988 |
Ciri Dawn Corbin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Sycamore St, Columbus, KS 66725 Phone: 888-777-9170 | |
Michael R Echard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 W Pine St, Columbus, KS 66725 Phone: 620-429-1008 | |
Travis Brent Bernot, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Sycamore St, Columbus, KS 66725 Phone: 888-777-9170 Fax: 620-231-5062 | |
Lisa Elaine Frisbie, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Sycamore St, Columbus, KS 66725 Phone: 888-777-9170 | |
Natalie Jean Cooper, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Sycamore St, Columbus, KS 66725 Phone: 888-777-9170 Fax: 620-429-2106 | |
Mr. Aaron Bigando, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Sycamore St, Columbus, KS 66725 Phone: 888-777-9170 |