Kristin D Wagner (NPI# 1205105624, PAC ID# 3577721786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205105624 |
| PAC ID by PECOS | 3577721786 |
| Professional Enrollment ID | I20120220000501 |
| Full Name | Kristin D Wagner |
| Organization Legal Name | MANZER FAMILY MEDICINE LLC |
| Address |
915 W Maple St Columbus KS 66725-1508 |
| Phone Number | 4173109286 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628058013 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171308 | MERCY HOSPITAL COLUMBUS |
| 260001 | MERCY HOSPITAL JOPLIN |
| Address | Phone | Organization |
|---|---|---|
| 915 W Maple St, Columbus, KS 66725-1508 | 4173109286 | MANZER FAMILY MEDICINE LLC |
| 1605, K66 Suite A, Galena, KS 66739-4306 | 4173109286 | MANZER FAMILY MEDICINE LLC |
| Organization Legal Name | MANZER FAMILY MEDICINE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Rawlins | Nurse Practitioner | Manzer Family Medicine LLC | 1605, K66 Suite A, Galena, KS 66739-4306 |
| Crystal J Dyer | Nurse Practitioner | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Jonathan L Manzer | Family Medicine | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Carrie M Osiier | Nurse Practitioner | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Wendy M Mulder | Nurse Practitioner | Manzer Family Medicine LLC | 3071 S Grand Ave, Carthage, MO 64836-7851 |
| Street Address |
915 W MAPLE ST |
| City | COLUMBUS |
| State | KS |
| Zip | 66725-1508 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James T Smith | Clinical Social Worker | Key Rehabilitation Inc | 101 Lee Ave, Columbus, KS 66725-1021 |
| Thongsamay Horvath | Nurse Practitioner | Wound Care Plus LLC | 101 Lee Ave, Columbus, KS 66725-1021 |
| Kristina K Brewster | Nurse Practitioner | Wound Care Plus LLC | 101 Lee Ave, Columbus, KS 66725-1021 |
| Benjamen H Williams | Family Medicine | Mercy Clinic Joplin LLC | 220 N Pennsylvania Ave, Mc Heart Care Columbus, Columbus, KS 66725-1110 |
| Michele R Carey | Nurse Practitioner | Mercy Clinic Joplin LLC | 220 N Pennsylvania Ave, Mc Heart Care Columbus, Columbus, KS 66725-1110 |
| Bryce J Loder | Family Practice | Mercy Hospital Columbus | 220 N Pennsylvania Ave, Columbus, KS 66725-1110 |
| Sacha L Degraffenreid Yates | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 120 W Pine St, Columbus, KS 66725-1705 |
| Michael Raymond Forbes | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 120 W Pine St, Columbus, KS 66725-1705 |
| Curtis R Wheatley | Chiropractic | 219 W Maple St, Wheatley Chiropractic and Acupuncture, Columbus, KS 66725-1706 |
| City | COLUMBUS |
| Zip Code | 66725 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLUMBUS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristin D Wagner.
| 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.