Kristen M. Wagner, D.O.
NPI 1598017048ActiveIndividual· Family Medicine· Fruitport, MI
Family Medicine (D.O.) in Fruitport, Michigan, trained at University of New England, College of Osteo Medicine (class of 2012). Part D covered 218 prescriptions written in 2024, 94% of them generic.
Overview
| NPI | 1598017048 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Oct 9, 2012 |
| Last updated in NPPES | Dec 23, 2020 |
| Certified by provider | Dec 23, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 5101020125 | MI |
| Obstetrics & Gynecology | 207V00000X | 5101020125 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (ME) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 218 · 574 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $15,777 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of New England, College of Osteo Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Family Practice |
Medical group
- Mrh CorpDover Foxcroft, ME · 35 clinicians
Hospital affiliation
- Northern Light Mayo HospitalDover Foxcroft, ME
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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