1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

JO ELLEN DEAN-WAGONER CRNA
NPI 1093749731
Nurse Anesthetist, Certified Registered in Charleston, WV

Active since July 10, 2006Accepts Medicare Assignment
90.11/100
CMS Quality Rating
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 388-2470 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jo Ellen Dean-wagoner Crna NPPES

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

JO ELLEN DEAN-WAGONER CRNA (NPI 1093749731) is an individual nurse anesthetist, certified registered in Charleston, West Virginia, licensed in West Virginia (APRN27802-CRNA) and active in the NPI registry since July 2006. She is a graduate of Other (1981).

NPPES Registry Identity

NPI1093749731
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJO ELLEN DEAN-WAGONERCredential: CRNA
Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351
Mailing Address800 Pennsylvania AveCharleston, WV 25302-3351 · (304) 388-2470
Phone(304) 388-2470
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 4, 2017
✔ NPI 1093749731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WV · APRN27802-CRNA
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
800 PENNSYLVANIA AVE, Charleston, WV 25302
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jo Ellen Dean-wagoner Crna 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.

PECOS PAC ID5395912505
PECOS Enrollment IDI20120111000397

Medicare Billing Reassignment

Medicare enrollment records show Jo Dean-wagoner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charleston Area Medical Center, Inc.
1.0 mi
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1124248752 (304) 388-3939

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

MRS. HOPE HALSTEAD WEBB CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470
KAWEETA AHUJA
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
DR. HARSHITHA DHANPALREDDY MBBS
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
CAMC FAMILY RESOURCE CENTER
Clinic/Center (Adult Mental Health)
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER
CHARLESTON, WV 25302
Kanawha County (304) 388-1596
JENNIFER ESTEP MSN, APRN, FNP-BC
Nurse Practitioner (Family)
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2600
DR. KRISTI ANN WU DO
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880
MRS. KELLEY DAWNE HARPER CRNA
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 388-2470
JANE ELIZABETH NICHOLAS MD
Pediatrics
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Kanawha County (304) 414-1880

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 Jo Dean-wagoner's NPI number?

The NPI number for Jo Dean-wagoner is 1093749731. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Jo Dean-wagoner located?

Jo Dean-wagoner practices at 800 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 388-2470.

What is Jo Dean-wagoner's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jo Dean-wagoner enrolled in Medicare?

Yes. Jo Dean-wagoner 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.

Which organization bills Medicare for Jo Dean-wagoner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jo Dean-wagoner reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Charleston, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jo Dean-wagoner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jo Dean-wagoner accept?

Health plans from CareSource list Jo Dean-wagoner 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.

When was this NPI record last updated?

The NPPES record for Jo Dean-wagoner was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.