Ms Nicole Wagner, APN - Medicare Certified Clinical Nurse Specialist (cns) in Wauconda, IL

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Ms Nicole Wagner, APN is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Wauconda, Illinois. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2001 and has 25 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Family Medicine Specialists Of Round Lake Incorporated S C, Family Medicine Specialists S.c. and her current practice location is 431 W Liberty St, Wauconda, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 526-2151.

Ms Nicole Wagner is licensed to practice in Illinois (license number 209004749) 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 1194968602.

Contact Information

Ms Nicole Wagner, APN
431 W Liberty St,
Wauconda, IL 60084-2452
(847) 526-2151
(847) 526-2017

Map and Direction




Provider's Profile

Full NameMs Nicole Wagner
GenderFemale
SpecialityCertified Clinical Nurse Specialist (cns)
Experience25 Years
Location431 W Liberty St, Wauconda, Illinois
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:
  • Ms Nicole Wagner attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2001
  NPI Data:
  • NPI Number: 1194968602
  • Provider Enumeration Date: 04/14/2009
  • Last Update Date: 06/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9133418577
  • Enrollment ID: I20160525000945

Medical Identifiers

Medical identifiers for Ms Nicole Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194968602NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209004749 (Illinois)Secondary
364SA2200XClinical Nurse Specialist - Adult Health 209004749 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Family Medicine Specialists Of Round Lake Incorporated S C600295751120
Family Medicine Specialists S.c.004220625224

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. Ms Nicole Wagner allows following entities to bill medicare on her behalf.
Entity NameFamily Medicine Specialists S.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063406601
PECOS PAC ID: 0042206252
Enrollment ID: O20040422001425
Entity NameFamily Medicine Specialists of Round Lake Incorporated S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740515253
PECOS PAC ID: 6002957511
Enrollment ID: O20100106000383
Entity NameFamily Medicine Specialists of Mount Prospect S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437389475
PECOS PAC ID: 8224166566
Enrollment ID: O20100507000184
Entity NameAll Time Urgent and Medical Care Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609536887
PECOS PAC ID: 3678969573
Enrollment ID: O20220401000198

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. Ms Nicole 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
Ms Nicole Wagner, APN
Po Box 6037,
Wauconda, IL 60084

Ph: (847) 526-2151		Ms Nicole Wagner, APN
431 W Liberty St,
Wauconda, IL 60084-2452

Ph: (847) 526-2151

Reviews and Comments



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.