Mrs. Susan M Wagner is a Niceville, Florida based nurse practitioner with 5 years of experience in Pediatrics. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Susan M Wagner is 1-097016 for Family in Alabama. Her current practice location is 4400 E Highway 20 Ste 207, Niceville. Patients can reach her at 850-806-2440. Mrs. Susan M Wagner is ARNP, CRNP, FNP-C with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1811514722. Mrs. Susan M Wagner specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mrs. Susan M 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:
Mrs. Susan M Wagner
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
ARNP, CRNP, FNP-C
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2020
Accepts Medicare Assignment:
Yes
Practice Address:
4400 E Highway 20 Ste 207, Niceville, Florida, 32578-7700
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:
6709297062
Enrollment ID:
I20201118001667
NPI Number:
1811514722
NPI Enumeration Date:
26 Jun, 2020
NPI Last Update On:
14 Jan, 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 Mrs. Susan M Wagner are as mentioned below.
License Number
Specialization
State
Status
1-097016
Family
Alabama
Primary
11007696
Pediatrics
Florida
Secondary
11007696
Family
Florida
Secondary
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 Mrs. Susan M Wagner is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Enterprise Urgent Care (1456647197)
8
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Susan M Wagner 4400 E Highway 20 Ste 207, Niceville, Florida
Zip:
32578-7700
Phone Number:
850-806-2440
Fax Number:
334-212-0232
Patients can reach Mrs. Susan M Wagner at 4400 E Highway 20 Ste 207, Niceville, Florida or can call to book an appointment on 850-806-2440.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.