IndividualActive
Debra Wagner, CPNP
NPI 1184872418 · Pediatric Nurse Practitioner · Carmel, IN
Provider details
- NPI number
- 1184872418
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 71000837A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(87/100 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
1 documented practice location
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
11700 N Meridian St # C240
Center for Children'S Cancer and Blood Diseases
Carmel, IN 46032-4656
Phone: (317) 688-4673
Fax: (317) 688-3436
Street-level locationGet directions
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.