MARINA ALYSSA WAGNER DO
NPI 1073190773
Family Medicine in Tigard, OR
About Marina Alyssa Wagner Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINA ALYSSA WAGNER DO (NPI 1073190773) is an individual family medicine provider in Tigard, Oregon, licensed in Oregon (DO218072) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marina Alyssa Wagner Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORProvidence Milwaukie Hospital
Acute Care Hospitals · Milwaukie, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIGARD, OR 97223
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marina Wagner's NPI number?
The NPI number for Marina Wagner is 1073190773. It was assigned to this individual provider in the NPPES registry on March 27, 2021.
Where is Marina Wagner located?
Marina Wagner practices at 12442 SW Scholls Ferry Rd Ste 206, Tigard, OR 97223. The listed phone number is (503) 216-9200.
What is Marina Wagner's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marina Wagner enrolled in Medicare?
Yes. Marina Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Marina Wagner accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Marina Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Marina Wagner affiliated with any hospitals?
According to CMS data, Marina Wagner is affiliated with Providence St Vincent Medical Center, Providence Portland Medical Center and Providence Milwaukie Hospital.
When was this NPI record last updated?
The NPPES record for Marina Wagner was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
