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

Gabrielle Wagner

Individual provider Nurse Practitioner · NPI 1639893449

Gabrielle Wagner is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

800 Walnut St Fl 20
Philadelphia, PA 19107-5176
Phone: (215) 829-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP025758 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP025758 (PA)

Record details

NPI number1639893449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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