Physician Compare National (NPI:1124578216)

HEALTHCARE PROVIDER: CHERI LYNN WAGERS APRN-FNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124578216
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345528840
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20161104000199
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WAGERS
	Individual professional last name
Provider First Name	CHERI
	Individual professional first name
Provider Middle Name	LYNN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	90 GARRARD SQ
	Group Practice or individual's line 1 address
City	MANCHESTER
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	409625759
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180043
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MANCHESTER MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y