IndividualActive
Andrea Wagner, CPNP-PC
NPI 1043455397 · Pediatric Nurse Practitioner · Columbus, OH
Provider details
- NPI number
- 1043455397
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- Yes
- License
- APRN.CNP.10126 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 S 18th St
Columbus, OH 43205-2654
Phone: (614) 722-2000
Street-level locationGet directions
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Additional practice locations (3)
- 405 Butterfly Gardens DrColumbus, OH 43215-4985Phone: (614) 722-6200Fax: (614) 722-3903
- 700 Childrens DrColumbus, OH 43205-2664Phone: (614) 722-2461Fax: (614) 722-4565
- 455 Executive Campus DrWesterville, OH 43082-8870Phone: (614) 722-2000
Registry dates
- Enumerated
- 2008-12-15
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.