Melissa Sue Wagner, ACNP
NPI 1366763708ActiveIndividual· Nurse Practitioner· Bloomington, MN
Nurse Practitioner (ACNP) with Park Nicollet Clinic, practicing in Bloomington, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $31,733 for 470 claims, against $6,294 paid for services in 2024. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1366763708 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ACNP |
| Sole proprietor | No |
| NPI issued | Jun 21, 2010 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Jun 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3805 | MN |
| Nurse Practitioner, Acute Care | 363LA2100X | 2010012196 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 71 across 8 procedure codes |
| Paid by Medicare | $6,294 |
Part D prescriptions in 2024
| Prescriptions (claims) | 470 · 496 30-day fills |
|---|---|
| Patients | 301 |
| Total drug cost | $31,733 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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