Tyler Wagner, PMHNP-BC - Nurse Practitioner in Fargo, ND

Tyler Wagner, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Fargo, North Dakota. Tyler Wagner is licensed to practice in North Dakota (license number 206041) and his current practice location is 1330 Page Dr S Ste 102b, Fargo, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 414-4596.

NPI number for Tyler Wagner is 1588577498 and his current mailing address is 1330 Page Dr S Ste 102b, Fargo, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588577498.

Contact Information

Tyler Wagner, PMHNP-BC
1330 Page Dr S Ste 102b,
Fargo, ND 58103-3562
(701) 414-4596
Not Available

Map and Direction




Provider's Profile

Full NameTyler Wagner
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1330 Page Dr S Ste 102b, Fargo, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588577498
  • Provider Enumeration Date: 09/23/2026
  • Last Update Date: 09/23/2026

Medical Identifiers

Medical identifiers for Tyler Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588577498NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 206041 (North Dakota)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. Tyler 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
Tyler Wagner, PMHNP-BC
1330 Page Dr S Ste 102b,
Fargo, ND 58103-3562

Ph: Not Available
Tyler Wagner, PMHNP-BC
1330 Page Dr S Ste 102b,
Fargo, ND 58103-3562

Ph: (701) 414-4596

Reviews and Comments


Nurse Practitioner Nurses in Fargo, ND

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Mrs. Kayla L. Nelson, DNP, FNP-C
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Phone: 701-364-3100    
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Phone: 218-364-8900    
Mr. Nicholas Henry Frederiksen, APRN,CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    Fax: 701-364-8078

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.

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