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

MS. Nicole Wagner, APN

Individual provider Family Nurse Practitioner · NPI 1194968602

MS. Nicole Wagner, APN is a Certified Clinical Nurse Specialist (Cns) in Wauconda, Illinois. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2001, 25 years ago. Practices with Family Medicine Specialists of Round Lake Incorporated S C, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
25
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

431 W Liberty St
Wauconda, IL 60084-2452
Phone: (847) 526-2151
Fax: (847) 526-2017
Show map & directions

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

Specialties & licences

Adult Health Clinical Nurse Specialist (primary) Taxonomy 364SA2200X · Licence 209004749 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209004749 (IL)

Record details

NPI number1194968602
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedApril 14, 2009
Last updated in NPPESJune 24, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2001 (25 years in practice)
Group practice Family Medicine Specialists Of Round Lake Incorporated S C — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wauconda