CASEY WAGNER (NPI# 1306094891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306094891 |
| Entity Type | Individual |
| Full Name | CASEY WAGNER |
| Practice Address |
118 Maple Ave Bellefontaine OH 43311-0670 |
| Mailing Address |
Po Box 817 West Liberty OH 43357-0817 |
| Practice Telephone | 9375991975 |
| Practice Fax Number | 9375992769 |
| Mailing Telephone | 9374658065 |
| Mailing Fax Number | 9374650442 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306108279 | Casey Wagner | Family Medicine | 7813 Spivey Station Blvd Ste 220, Jonesboro, GA 30236 | 2012-06-15 |
| 1740777838 | Casey Wagner | Social Worker | 7115 Forthun Rd Ste 105, Baxter, MN 56425 | 2018-04-16 |
| 1750659777 | Casey Rae Wagner | Nurse Practitioner | 5325 Faraon St., St. Joseph, MO 64506-3488 | 2011-12-05 |
| Street Address |
118 MAPLE AVE |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311-0670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265406938 | Molly A Smith | Counselor | 118 Maple Ave, Bellefontaine, OH 43311 | 2006-02-17 |
| 1487292512 | Alaina Martin | Registered Nurse | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2019-12-19 |
| 1538719620 | Cecilia Yelton | Community Health Worker | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2019-09-19 |
| 1275003329 | Treva Snyder | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-12-03 |
| 1982182069 | Megan Amanda Hawk | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-08-01 |
| 1851887574 | Erin N Dye | Social Worker | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-07-05 |
| 1407345390 | Krista Ann Brey | Social Worker | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-05-07 |
| 1932697984 | Stephanie M Ketchell | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-04-25 |
| 1982192910 | Tracy Anne Mcpherson | Counselor | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-04-25 |
| 1497243620 | Charles Gordon Borba | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003329 | Treva Snyder | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-12-03 |
| 1982182069 | Megan Amanda Hawk | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-08-01 |
| 1932697984 | Stephanie M Ketchell | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-04-25 |
| 1497243620 | Charles Gordon Borba | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-1619 | 2018-04-24 |
| 1154586915 | Betty S Smith | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311-0670 | 2008-07-22 |
| 1003090192 | Hillary Schau | Case Manager/Care Coordinator | 118 Maple Ave, Bellefontaine, OH 43311 | 2007-12-26 |
| 1821205790 | Heather Jenalee Massey | Case Manager/Care Coordinator | 1600 S Main St, Bellefontaine, OH 43311-1508 | 2007-05-17 |
| 1194865915 | Charleen Doss | Case Manager/Care Coordinator | 118 W Maple Ave, Bellefontaine, OH 53311 | 2007-02-08 |
| 1649319633 | Regina Hicks | Case Manager/Care Coordinator | 118 W Maple Ave, Bellefontaine, OH 43311 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497888 | Kelly Nichole Mcintyre | Case Manager/Care Coordinator | 328 S Stadium Dr, Xenia, OH 45385-2161 | 2020-11-05 |
| 1285235580 | Andrea Temeka Hill | Case Manager/Care Coordinator | Boundless Behavioral Health, Worthington, OH 43085-3183 | 2020-11-03 |
| 1114528775 | Trinka Louise Glenn | Case Manager/Care Coordinator | 6400 E Broad St # F14, Columbus, OH 43213-2086 | 2020-11-02 |
| 1457951097 | James P Watkins Jr. | Case Manager/Care Coordinator | 955 Snowfall Spur Apt B, Akron, OH 44313-4966 | 2020-10-30 |
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1871193706 | Brooke Siggers | Case Manager/Care Coordinator | 829 S Gettysburg Ave # 45416, Dayton, OH 45417-3569 | 2020-10-29 |
| 1164022182 | George Atta Owusu | Case Manager/Care Coordinator | 407 Lemery Dr, Columbus, OH 43213-4482 | 2020-10-28 |
| 1669072815 | Brandon Thomas | Case Manager/Care Coordinator | 111 S Byrne Rd, Toledo, OH 43615-6212 | 2020-10-27 |
| 1497355952 | Allen Richardson | Case Manager/Care Coordinator | 3450 W. Central Ave., Ste 366e, Toledo, OH 43606-1416 | 2020-10-26 |
| 1780284216 | April Lee | Case Manager/Care Coordinator | 900 W South Boundary St Bldg 6, Perrysburg, OH 43551-5235 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.