Shannon M Wagenman (NPI# 1013347665, PAC ID# 2264655521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013347665 |
| PAC ID by PECOS | 2264655521 |
| Professional Enrollment ID | I20140514001696 |
| Full Name | Shannon M Wagenman |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP - BILLINGS LLC |
| Address |
16 N Miles Ave Hardin MT 59034-2356 |
| Phone Number | 4066652205 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638491574 |
| Number of Group Practice Members | 181 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271338 | BIG HORN CO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 16 N Miles Ave, Hardin, MT 59034-2356 | 4066652205 | SCL HEALTH MEDICAL GROUP - BILLINGS LLC |
| 10 Robinson Ln, Red Lodge, MT 59068-9010 | 4064463800 | SCL HEALTH MEDICAL GROUP - BILLINGS LLC |
| Organization Legal Name | SCL HEALTH MEDICAL GROUP - BILLINGS LLC |
| Physicians | 171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyanne Wear | Clinical Social Worker | Scl Health Medical Group - Billings LLC | 32 Wicks Ln, Billings, MT 59105-3810 |
| Sophie Lanciers | Pediatric Medicine | Scl Health Medical Group - Billings LLC | 1232 N 30th St, Suite 200, Billings, MT 59101-0139 |
| Caitlin J Wilson | Physician Assistant | Scl Health Medical Group - Billings LLC | 10 Robinson Ln, Red Lodge, MT 59068-9010 |
| Rodney S Badger | Cardiovascular Disease (cardiology) | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 204e, Billings, MT 59101-7502 |
| Kristen Beck | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 2750 Grand Ave, Billings, MT 59102-2629 |
| Rita Cherni-smith | Internal Medicine | Scl Health Medical Group - Billings LLC | 2223 Mission Way, Billings, MT 59102-0160 |
| Marianna S Holland | Certified Nurse Midwife | Scl Health Medical Group - Billings LLC | 1230 N 30th St, Billings, MT 59101-0128 |
| Kyle W Debenham | Emergency Medicine | Scl Health Medical Group - Billings LLC | 2019 Broadwater Ave, Billings, MT 59102-4810 |
| Matthew T Furber | Physician Assistant | Scl Health Medical Group - Billings LLC | 1035 1st Ave, Laurel, MT 59044-2119 |
| Blackshear Bryan | Physical Medicine and Rehabilitation | Scl Health Medical Group - Billings LLC | 2900 12th Ave N, Suite 400e, Billings, MT 59101-7514 |
| Street Address |
16 N MILES AVE |
| City | HARDIN |
| State | MT |
| Zip | 59034-2356 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark S. Edwards | Internal Medicine | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Gary A Ostahowski | Family Medicine | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Kim P Caprata | Physician Assistant | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Stefanie Rickhoff | Physician Assistant | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Anna Marie Hein | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Carol Greimann | Internal Medicine | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Laurie K Neubauer | Physician Assistant | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Christopher J Mulder | Gastroenterology | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Lori A Forseth | Family Practice | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Marina A Rath | Nurse Practitioner | Scl Health Medical Group - Billings LLC | 16 N Miles Ave, Hardin, MT 59034-2356 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Hubbs Hjelmstad | Clinical Social Worker | 26 E 6th St, Hardin, MT 59034-1533 | |
| Douglas Henry Gratwohl | Optometry | 215 3rd St W, Hardin, MT 59034-1701 | |
| George L Toyne Jr. | Chiropractic | 201 W 4th St, Hardin, MT 59034-1705 | |
| Steven V Gard | Physician Assistant | Bighorn Valley Health Center, Incorporated | 10 4th St W, Suite B, Hardin, MT 59034-1804 |
| David A Mark | Internal Medicine | Bighorn Valley Health Center, Incorporated | 10 4th St W, Suite B, Hardin, MT 59034-1804 |
| Nicole Turnsplenty | Nurse Practitioner | Bighorn Valley Health Center, Incorporated | 10 4th St W, Suite B, Hardin, MT 59034-1804 |
| Katie L Ketterling-thornburg | Nurse Practitioner | Bighorn Valley Health Center, Incorporated | 10 4th St W, Suite B, Hardin, MT 59034-1804 |
| Joseph Z Nemes | General Practice | Bighorn Valley Health Center, Incorporated | 10 4th St W, Suite B, Hardin, MT 59034-1804 |
| Bella M Gentry | Family Medicine | Bighorn Valley Health Center, Incorporated | 10 4th St W, Hardin, MT 59034-1804 |
| Lindsay Rucinsky | Nurse Practitioner | Bighorn Valley Health Center, Incorporated | 10 4th St W, Suite B, Hardin, MT 59034-1804 |
| Find all physicians in zip 59034 | |||
| City | HARDIN |
| Zip Code | 59034 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HARDIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shannon M Wagenman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.