REBECCA WAGNER MICHAELS PA-C
NPI 1053720490
Physician Assistant - Surgical in Durham, NC

Q: What is Rebecca Michaels's NPI number?

The NPI number for Rebecca Michaels is 1053720490. It was assigned to this individual provider in the NPPES registry on August 11, 2014. The provider is also known as Rebecca L Wagner.

Q: What is Rebecca Michaels's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Michaels was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 11, 2014PECOS Enrolled

2301 ERWIN ROAD, DURHAM, NC 27710(919) 681-2343 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Aug 26, 2020, Feb 19, 2019 and 2 more (5 updates tracked since 2018).

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About Rebecca Wagner Michaels Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA WAGNER MICHAELS PA-C (NPI 1053720490) is an individual surgical provider in Durham, North Carolina, licensed in North Carolina (0010-11827) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1053720490

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameREBECCA WAGNER MICHAELSCredential: PA-C

Location Address2301 ERWIN ROADDurham, NC 27710-1910

Mailing Address10140 Centurion Pkwy NJacksonville, FL 32256-0532 · (904) 697-4100

Phone(919) 681-2343

Sole ProprietorNo

Enumeration DateAugust 11, 2014

Last NPPES UpdateJune 30, 20265 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1053720490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in NC · 0010-11827✔ Licensed in FL · PA9121186

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110006278 (VA)

2301 ERWIN ROAD, Durham, NC 27710

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Other Names 1

Former Name (1)Rebecca L Wagner

Secondary Practice Location 1

Location 16535 Nemours PkwyOrlando, FL 32827-7884 · Phone (407) 650-7000 · Fax (407) 567-5924

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Wagner Michaels Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMUEL JAMES KESSELI M.D.

Student in an Organized Health Care Education/Training Program