NPI registry status
Active
2026 NPPES data Family Nurse Practitioner NPI 1558993261 FNP-C
Verify on CMS → Ali Wagner, FNP-C
Family Nurse Practitioner in Lovell, Wyoming.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 173 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
57.7/100
▼ 26 pts below national avg 83.5 · Mid-tier
Industry payments
$65.83
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Ali Wagner, FNP-C reported a CMS MIPS final score of 57.7/100 - below the 83.5 national average - and filed 2,200 Medicare Part D claims in 2024.
- 57.7/100
- MIPS score · -26 vs avg
- 2K
- Part D claims, 2024
- 89%
- generic prescribing
- $65.83
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Ali Wagner, FNP-C
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1558993261), first enumerated 02/11/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,200 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 57.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$65.83 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1558993261 · Family Nurse Practitioner
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1558993261
- ENUM-RECENT 2020
- TAX-MEGA 217K Family Nurse
- MIPS-LOW 57.7/100
- RX-MID 2,200
- BOOK-THIN 424 in Wyoming
- PHOTO-FINISH Jemmy Castor · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Levi-Lin Cumming…
Levi-Lin Cummings
57.6 MIPS pts
- Wagner · this pr…
Wagner · this provider
57.7 MIPS pts
- Michelle Santoro…
Michelle Santoro
57.7 MIPS pts
- Staci Foglio · n…
Staci Foglio
57.7 MIPS pts
- Jemmy Castor · n…
Jemmy Castor
57.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Ali Wagner, FNP-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
58 ≥ 5th percentile 5% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Ali Wagner, FNP-C sits
This provider among family nurse practitioner peers
Across the 26,556 family nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Ali Wagner, FNP-C writes more Part D claims than 83% of them and scores higher on MIPS quality than 4% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family nurse practitioner peer from a representative sample of 60; the gold marker is Ali Wagner, FNP-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Ali Wagner, FNP-C?
Below national averagePrimary specialty
Family Nurse Practitioner
Medicare Part D claims
2,200 69% vs specialty avg
MIPS final score
57.7/100 25.8 pts vs avg
Specialty distribution in Wyoming
How Family Nurse Practitioner compares to other specialties among Wyoming providers
Medicare quality performance, MIPS
Ali Wagner, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average
- MIPS Final Score
- 57.7/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1558993261 |
|---|---|
| Specialty | Family Nurse Practitioner |
| Credentials | FNP-C |
| Gender | Female |
| NPI Issued | 02/11/2020 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
57.7228
Final Score
Measured-score avg: 83.5
50.4052
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ali Wagner, FNP-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
North Big Horn Hospital District
★★★★☆ 4/5
Lovell, WY
Critical Access Hospitals
CMS CCN: 531309
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Ali Wagner, FNP-C. Source: openpaymentsdata.cms.gov.
Total received
$66
Largest payer
Alkermes, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Typical
Ali Wagner, FNP-C - brand share 10.0%
Family Nurse Practitioner average
10% brand-name claims vs 89% generic, on 2,200 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
2,200
Total Claims
$200K
Total Drug Cost
173
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,797.4
- Total Day Supply
- 139,178
- Brand vs Generic
- 10% brand / 89% generic
- Brand Drug Cost
- $170K
- Generic Drug Cost
- $30K
- Opioid Claims
- 61 (2.8% rate)
- Antibiotic Claims
- 77
Patient Demographics
- Average Patient Age
- 73.1 years
- Avg HCC Risk Score
- 1.02
- Gender Split
- 83% female / 17% male
- Age Distribution
- <65: 11, 65-74: 89, 75-84: 61, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Ali Wagner, FNP-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
135 claims
- Amlodipine Besylate
Amlodipine Besylate
83 claims
- Potassium Chloride
Potassium Chloride
82 claims
- Omeprazole
Omeprazole
81 claims
- Losartan Potassium
Losartan Potassium
80 claims
- Lisinopril
Lisinopril
78 claims
- Atorvastatin Calcium
Atorvastatin Calcium
69 claims
- Gabapentin
Gabapentin
57 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 135 |
| Amlodipine Besylate | 83 |
| Potassium Chloride | 82 |
| Omeprazole | 81 |
| Losartan Potassium | 80 |
| Lisinopril | 78 |
| Atorvastatin Calcium | 69 |
| Gabapentin | 57 |
| Eliquis Apixaban | 45 |
| Metformin Hcl | 44 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Nurse Practitioner Overview
How Ali Wagner, FNP-C fits within the Family Nurse Practitioner landscape nationally.
216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider
Ali Wagner, FNP-C's 2,200 claims are above the specialty average of 1,302.
Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year
Two federal-record peer sets for Wagner, both outside Wyoming so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (57.7 here).
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Nurse Practitioner Providers in Wyoming
Other clinicians with the same primary specialty enrolled in Wyoming, drawn from the same CMS NPPES roster as Wagner.
One of 424 Family Nurse Practitioner providers enrolled in Wyoming, 5 are shown here.
Julie Agee
FNP
Powell, WY
Nadja Aleman
APRN
Sheridan, WY
Dr. Karen Alexander
DNP
Lusk, WY
Misty Alexander
FNP-C
Gillette, WY
Ann Anderson
N.P.
Cheyenne, WY
Compare Family Nurse Practitioner nationally: see state-by-state distribution →
Frequently Asked Questions
What is Ali Wagner, FNP-C's specialty? ▼
Ali Wagner, FNP-C specializes in Family Nurse Practitioner and practices in Lovell, Wyoming. Credentials: FNP-C.
How much does Ali Wagner, FNP-C prescribe under Medicare Part D? ▼
In 2024, Ali Wagner, FNP-C wrote 2,200 Medicare Part D claims totaling $200K in drug costs for 173 beneficiaries.
What is Ali Wagner, FNP-C's Medicare quality score? ▼
Ali Wagner, FNP-C has a CMS MIPS Final Score of 57.7/100 (Quality: 50.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ali Wagner, FNP-C located? ▼
Ali Wagner, FNP-C is located at 1115 LANE 12, Lovell, WY, 82431. Phone: (307) 548-5201.
What is Ali Wagner, FNP-C's NPI number? ▼
Ali Wagner, FNP-C's National Provider Identifier (NPI) is 1558993261, issued on 02/11/2020.
Does Ali Wagner, FNP-C prescribe more brand-name or generic drugs? ▼
Ali Wagner, FNP-C's prescribing is 10% brand-name and 89% generic drugs by claim count, with $170K in brand drug costs.
Does Ali Wagner, FNP-C prescribe opioids? ▼
Yes, Ali Wagner, FNP-C had 61 opioid claims in 2024 with an opioid prescribing rate of 2.8%.
How many Family Nurse Practitioner providers are there in the US? ▼
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Ali Wagner, FNP-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Ali Wagner, FNP-C's most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ali Wagner, FNP-C accept Medicare? ▼
Ali Wagner, FNP-C appears in CMS Medicare data with 2,200 Part D claims and 173 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ali Wagner, FNP-C's credentials? ▼
Ali Wagner, FNP-C's NPI is 1558993261 with credentials FNP-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.