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

Kevin Wagner, FNP

Individual provider Nurse Practitioner · NPI 1821620451

Kevin Wagner, FNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2019, 7 years ago. Practices with Mercy Clinic Joplin LLC, a 295-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Missouri, North Carolina and Oklahoma.

Years since qualifying
7
Licensed in
MO, NC, OK
In the registry since
2020
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1001 Blythe Blvd Ste 300- Adult Cardiology
Charlotte, NC 28203-5866
Phone: (704) 373-0212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 100 Mercy Way, Joplin, MO 64804-4524 — (865) 539-8040
  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 373-0212
  • 1001 Blythe Blvd, Charlotte, NC 28203-5866 — (704) 373-0212
  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255
  • 10650 Park Rd, Charlotte, NC 28210-8538 — (704) 667-3840

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5012830 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 2021021010 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 204420 (OK)

Record details

NPI number1821620451
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 11, 2020
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mercy Clinic Joplin Llc — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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