Individual Healthcare Provider
Christina J Wagener, APN
Provider's NPPES record last updated: December 13, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1033469994
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Crestwood, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 12:11 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Illinois)
- 277000049
- Nurse Practitioner (Illinois)
- 277000049
- Nurse Practitioner (Ohio)
- APRN.CNP.0040625
- Nurse Practitioner (Indiana)
- 71017358A
- Nurse Practitioner (South Carolina)
- APN.31164
- Nurse Practitioner (Kentucky)
- 4048488
Practice Locations
Practice Location
5419 135th St
Crestwood, Illinois 60418-1529
Phone: (708) 358-7300
Additional Practice Location
1075 Stephenson Ave Unit B
Oceanport, New Jersey 07757-1242
Phone: (732) 592-3400
Additional Practice Location
4837 E Mckinley Ave
Fresno, California 93703-3532
Phone: (559) 414-5001
Additional Practice Location
800 Route 70
Lakehurst, New Jersey 08733-2734
Phone: (732) 716-4600
Additional Practice Location
700 E Walnut St
Evansville, Indiana 47713-2561
Phone: (812) 990-5800
Additional Practice Location
2050 E Parrish Ave
Owensboro, Kentucky 42303-1448
Phone: (270) 494-5401
Additional Practice Location
1700 E Dublin Granville Rd
Columbus, Ohio 43229-3525
Phone: (614) 647-9100
Additional Practice Location
2801 Ashley Phosphate Rd
North Charleston, South Carolina 29418-4402
Phone: (854) 768-0800
Record Information
- Enumeration Date
- September 18, 2012
- Provider's NPPES Record Last Updated
- December 13, 2025
- Certification Date
- December 13, 2025
- NPISignal NPPES Dataset
- August 2026
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