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

Lois Wagley

Individual provider Family Nurse Practitioner · NPI 1538530506

Lois Wagley is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2015, 11 years ago. Practices with Healthlinc Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
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Practice location Address checks out

420 W 4th St
Mishawaka, IN 46544-1948
Phone: (574) 307-7673
Fax: (574) 307-7692
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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 71005871A (IN)

Record details

NPI number1538530506
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2015
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing address420 W 4th St, Mishawaka, IN 46544-1948

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Healthlinc Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mishawaka