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

Mrs. Susan M Wagner, ARNP, CRNP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1811514722

Mrs. Susan M Wagner, ARNP, CRNP, FNP-C is a Nurse Practitioner in Niceville, Florida. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
6
Licensed in
AL, FL
In the registry since
2020
Specialties on file
3
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

4400 E Highway 20 Ste 207
Niceville, FL 32578-7700
Phone: (850) 806-2440
Show map & directions

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

Additional practice locations (1)

  • 6582 Boll Weevil Cir, Enterprise, AL 36330-9424 — (334) 347-2027

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11007696 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1-097016 (AL)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 11007696 (FL)

Record details

NPI number1811514722
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP , CRNP , FNP-C
Sole proprietorNo
NPI enumeratedJune 26, 2020
Last updated in NPPESAugust 3, 2025
Certification dateAugust 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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