Active NPI 1295914331 Individual Practitioner Female Practitioner

Courtney Lee Wagner , LPN

Licensed Practical Nurse • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Courtney Wagner, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Crestview, FL. Practice services are available at 6261 OLD BETHEL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6261 Old Bethel Rd

Crestview, FL 325365507

Telephone 8506837500

Fax 8506837523

Associated Practice Facility / Clinic

🏢 Florida Department Of Health Facility NPI 1831280700

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Crestview, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 3.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Crestview, FL (1995 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5178468

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 25, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2007

Registered at 6261 OLD BETHEL RD, CRESTVIEW, FL 325365507 (Tel: 8506837500)

📍

Updated Business Mailing Address October 25, 2007

Registered at 221 HOSPITAL DR NE, FORT WALTON BEACH, FL 325485066 (Tel: 8508339240)

👤

Provider Name / Credentials Updated October 25, 2007

Recorded as COURTNEY WAGNER, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2007

Licensed Practical Nurse (License #PN5178468 in FL)

🟢

Initial NPI Registration & Enumeration October 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295914331

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2007

Last Update: October 25, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

221 Hospital Dr Ne

Fort Walton Beach, FL 325485066

Phone: 8508339240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.