Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Andrea S Wagner, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1043455397

Mrs. Andrea S Wagner, CPNP-PC is a Nurse Practitioner in Columbus, Ohio. Qualified in 2008, 18 years ago. Practices as a sole proprietor and works from 4 locations. Licensed in Ohio.

Years since qualifying
18
Licensed in
OH
In the registry since
2008
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Practice location Address checks out

555 S 18th St
Columbus, OH 43205-2654
Phone: (614) 722-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 700 Childrens Dr, Columbus, OH 43205-2664 — (614) 722-2461
  • 405 Butterfly Gardens Dr, Columbus, OH 43215-4985 — (614) 722-6200
  • 455 Executive Campus Dr, Westerville, OH 43082-8870 — (614) 722-2000

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APRN.CNP.10126 (OH)

Record details

NPI number1043455397
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedDecember 15, 2008
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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