Doctor profile · Federal record

Dr. Beth Wagner, CRNP

Adult Health Nurse Practitioner · Philadelphia, PA

  • NPI 1336104074
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
833 Chestnut Street, Suite 301
Philadelphia, PA 191074405
(215) 955-7190
fax (215) 923-9186

Credentials & registration

NPPES · NUCC
NPI registered
April 2006 — 20 yrs on file
Profile last updated
April 6, 2011
Specialty taxonomy
363LA2200X — NUCC code
State license (1)
Pennsylvania #SP008597

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336104074. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$14
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Actelion Pharmaceuticals US, Inc. 1 $13.56

By nature of payment

Food and Beverage
$14

Frequently asked questions

Auto-generated from federal data
What is Dr. Beth Wagner's medical specialty?
Dr. Beth Wagner practices Adult Health Nurse Practitioner in Philadelphia, PA.
Where does Dr. Beth Wagner practice?
Dr. Beth Wagner practices at 833 Chestnut Street, Philadelphia, PA 191074405. Office phone: 2159557190.
What is Dr. Beth Wagner's NPI?
Dr. Beth Wagner's National Provider Identifier (NPI) is 1336104074, issued by NPPES.