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

Mrs. Carolyn Wagner, NP

Individual provider Family Nurse Practitioner · NPI 1366419087

Mrs. Carolyn Wagner, NP is a Family Nurse Practitioner in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1770 E Lake Shore Dr Ste 207
Decatur, IL 62521-3832
Phone: (217) 429-9700
Fax: (217) 429-9702
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209-001389 (IL)

Record details

NPI number1366419087
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESMarch 10, 2011

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