SHANNON WAGENMAN, FNP-BC

Family Nurse Practitioner · HARDIN, MT

Individual Active NPI 1013347665

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	11	18	$8,554	$1,687	$1,344

Taxonomy & licensure

Specialty	Code	Primary	License	State
Family Nurse Practitioner	363LF0000X	✓	100410	MT
Family Nurse Practitioner	363LF0000X		NUR-RN-LIC-71603	MT
Family Nurse Practitioner	363LF0000X		0990549	CO

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.