Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donnelle I. Wagner, DNP

Individual provider Family Nurse Practitioner · NPI 1225213812

Donnelle I. Wagner, DNP is a Nurse Practitioner in Fort Smith, Arkansas. Qualified in 2014, 12 years ago. Practices with Mercy Northwest Arkansas Ambulatory Services, LLC, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2008
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

4620 Rogers Ave
Fort Smith, AR 72903-3149
Phone: (479) 384-5380
Fax: (479) 384-5382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3700 Cliff Dr, Fort Smith, AR 72903-5954 — (479) 709-7260

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ATP000123 (AR)

Record details

NPI number1225213812
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedJanuary 2, 2008
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mercy Northwest Arkansas Ambulatory Services, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Smith