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

Mrs. Rebecca Anne Wagner, MSNRNPMHNPBC

Individual provider Registered Nurse · NPI 1407612708

Mrs. Rebecca Anne Wagner, MSNRNPMHNPBC is a Nurse Practitioner in Huntsville, Alabama. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Alabama.

Years since qualifying
1
Licensed in
AL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

4040 Memorial Pkwy SW
Huntsville, AL 35802-4364
Phone: (256) 705-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2025063408 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-180194 (AL)

Record details

NPI number1407612708
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNRNPMHNPBC
Sole proprietorYes
NPI enumeratedFebruary 23, 2024
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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