ANGELA D WAGNER PA-C
NPI 1073531711
Physician Assistant - Medical in Fargo, ND

Active since July 18, 2006PECOS Enrolled
75/100
CMS Quality Rating
700 1ST AVE S, FARGO, ND 58103(701) 234-4023(701) 234-4050 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2022, Sep 8, 2020 (2 updates tracked since 2020).

About Angela D Wagner Pa-c NPPES

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

ANGELA D WAGNER PA-C (NPI 1073531711) is an individual medical provider in Fargo, North Dakota, licensed in North Dakota (PAC0344) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Riverview Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1073531711
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELA D WAGNERCredential: PA-C
Location Address700 1ST AVE SFargo, ND 58103-1802
Mailing Address2401 41st St S, Ste 101Fargo, ND 58104-7783 · (701) 234-4023 · Fax (701) 234-4050
Fax(701) 234-4050
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 18, 2006
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
NPI 1073531711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ND · PAC0344
700 1ST AVE S, Fargo, ND 58103

Other Names 1

Former Name (1)Angela D Diede Pa-c

Other Identifiers 2

Medicaid71059ND
Medicaid186186700MN

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 (PECOS)

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

PECOS PAC ID7416961875
PECOS Enrollment IDI20060206000694
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.

Areas of Expertise CMS Part B claims 12

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
8,790 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
288 services199 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
266 services176 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
80 services80 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
70 services30 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
63 services30 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Hospital

Critical Access Hospitals · Crookston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241320
Location323 South MinnesotaCrookston, MN 56716 · Polk County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Lisbon Area Health Services

Critical Access Hospitals · Lisbon, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351311
Location905 Main StLisbon, ND 58054 · Ransom County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Physician Assistant
700 1ST AVE S
FARGO, ND 58103
Clinical Neuropsychologist
700 1ST AVE S
FARGO, ND 58103
Psychiatry & Neurology (Neurology)
700 1ST AVE S
FARGO, ND 58103
Psychiatry & Neurology (Neurology)
700 1ST AVE S
FARGO, ND 58103
Psychiatry & Neurology (Neurology)
700 1ST AVE S
FARGO, ND 58103
Physician Assistant
700 1ST AVE S
FARGO, ND 58103
Neurological Surgery
700 1ST AVE S
FARGO, ND 58103
Psychiatry & Neurology (Neurology)
700 1ST AVE S
FARGO, ND 58103

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 Angela Wagner's NPI number?

The NPI number for Angela Wagner is 1073531711. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Angela D Diede Pa-C.

Where is Angela Wagner located?

Angela Wagner practices at 700 1st Ave S, Fargo, ND 58103. The listed phone number is (701) 234-4023.

What is Angela Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angela Wagner enrolled in Medicare?

Yes. Angela Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Angela Wagner accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Angela 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 Angela Wagner affiliated with any hospitals?

According to CMS data, Angela Wagner is affiliated with Riverview Hospital, Sanford Medical Center Fargo, Altru Hospital, Essentia Health and Lisbon Area Health Services.

When was this NPI record last updated?

The NPPES record for Angela Wagner was last updated on January 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.