Individual provider

Teresa Wagner, RN, CDE

Licensed Practical Nurse Diabetes Educator Registered Nurse

Teresa Wagner, RN, CDE is a Licensed Practical Nurse in Buckeye, WV, registered under NPI 1063572717. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 150 DUNCAN ROAD, Buckeye, WV 24924. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

150 DUNCAN ROAD, Buckeye, WV 24924 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
30547 WV Licensed Practical Nurse primary
30547 WV Diabetes Educator Registered Nurse

This provider holds licence 30547 issued in WV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Licensed Practical Nurse covers

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. NUCC Health Care Provider Taxonomy, code 164W00000X
Nursing Service Providers Licensed Practical Nurse

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
164W00000X Licensed Practical Nurse 30547 WV primary
163WD0400X Diabetes Educator Registered Nurse Diabetes Educator 30547 WV

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063572717 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 11, 2006
Last updatedSep 23, 2015
StatusActive
Sole proprietorNo
CredentialRN, CDE
Practice address 150 DUNCAN ROAD
Buckeye, WV 24924
(304) 799-7400
Fax (304) 799-2276
This record was last updated on Sep 23, 2015, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1063572717 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 5 7 2 7 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 1 7 4 7 2

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063572717?
NPI 1063572717 is the National Provider Identifier assigned to Teresa Wagner, RN, CDE in Buckeye, WV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Licensed Practical Nurse cover?
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.
How do I contact Teresa Wagner, RN, CDE?
The phone number on file with NPPES is (304) 799-7400, last updated Sep 23, 2015. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063572717 a valid number?
Yes. 1063572717 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.