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

Michael David Wagner, MS, RN, CNP, PMHNPBC

Individual provider Registered Nurse · NPI 1699384958

Michael David Wagner, MS, RN, CNP, PMHNPBC is a Registered Nurse in Clarksburg, Maryland. Practices as a sole proprietor. Licensed in Maryland and Minnesota.

Licensed in
MD, MN
In the registry since
2020
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

13719 Lapwing Way
Clarksburg, MD 20871-3401
Phone: (507) 696-2157
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R247240 (MD)
Registered Nurse Taxonomy 163W00000X · Licence 191995-4 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 7558 (MN)

Record details

NPI number1699384958
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RN , CNP , PMHNPBC
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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