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

Shane L Wagner, MHPP

Individual provider Case Manager/Care Coordinator · NPI 1548413925

Shane L Wagner, MHPP is a Case Manager/Care Coordinator in Fort Smith, Arkansas. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

3111 S 70th St
Fort Smith, AR 72903-5017
Phone: (479) 452-6650
Fax: (479) 452-5847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1548413925
Entity typeIndividual (Type 1)
GenderMale
Credentials MHPP
Sole proprietorNo
NPI enumeratedOctober 29, 2008
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address3111 S 70th St, Fort Smith, AR 72903-5017

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