Melissa Dalton Wagner

APRN | Nurse Practitioner - Family | 10+ years Exp

34 Medical Park Blvd, Petersburg
  Virginia, 23805-9283
804-609-0175
Accepts Medicare Nurse Anesthetist in Petersburg, Virginia.
Melissa Dalton Wagner is a Petersburg, Virginia based nurse practitioner with 10 years of experience in Family. She completed her graduation in 2015. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Melissa Dalton Wagner is 0024184994 for Family in Virginia. Her current practice location is 34 Medical Park Blvd, Petersburg. Patients can reach her at 804-609-0175 or can fax her at 804-835-5999. Melissa Dalton Wagner is APRN with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1174992382.
Melissa Dalton Wagner delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Melissa Dalton Wagner speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Melissa Dalton Wagner
Specialization: Family Nurse Practitioner (FNP)
Gender:Female
Credentials: APRN
Experience: 10+ years
Medical School Attended:Other
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:34 Medical Park Blvd, Petersburg,
Virginia, 23805-9283
Phone:804-609-0175
Fax:804-835-5999
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6709170343
Enrollment ID: I20160810000772
NPI Number: 1174992382
NPI Enumeration Date: 17 Sep, 2015
NPI Last Update On: 03 Dec, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melissa Dalton Wagner are as mentioned below.
License NumberSpecializationStateStatus
0024184994Family VirginiaPrimary
3009798Family KentuckySecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(180005)Prestonsburg, KYAcute Care Hospital
(180128)Louisa, KYAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Melissa Dalton Wagner is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Eastern Kentucky Tender Care Pediatrics, Llc (9537264262)9
Frontier Behavioral Health Center Pllc (7911284302)3
Martin County Rural Health Clinic Pllc (9436372141)7
Other Medical Identifiers:
Other legacy medical identifiers associated with Melissa Dalton Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
3009798OtherKentuckyAPRN LICENSE NUMBER
7100385910MedicaidKentucky
F0915844OtherAANP CERTIFICATION NUMBER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Melissa Dalton Wagner
34 Medical Park Blvd,
Petersburg, Virginia
Zip: 23805-9283
Phone Number: 804-609-0175
Fax Number: 804-835-5999
Patients can reach Melissa Dalton Wagner at 34 Medical Park Blvd, Petersburg, Virginia or can call to book an appointment on 804-609-0175.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.