Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAMELA E. WAGNER CRNA
NPI 1104880418
Nurse Anesthetist, Certified Registered in Bloomington, MN

Active since April 13, 2006
8100 NORTHLAND DR, BLOOMINGTON, MN 55431(952) 831-8742 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, Jul 13, 2026 (2 updates tracked since 2026).

About Pamela E. Wagner Crna NPPES

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

PAMELA E. WAGNER CRNA (NPI 1104880418) is an individual nurse anesthetist, certified registered in Bloomington, Minnesota, licensed in Minnesota (1267) and active in the NPI registry since April 2006. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1104880418
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NamePAMELA E. WAGNERCredential: CRNA
Location Address8100 NORTHLAND DRBloomington, MN 55431-4800
Mailing Address8170 33rd Ave S, Mailstop 21110qBloomington, MN 55425-4516 · (952) 883-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 13, 2006
Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1104880418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · 1267
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1298824 (MN)
8100 NORTHLAND DR, Bloomington, MN 55431

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

Pamela E. Wagner 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 ID7012975915
PECOS Enrollment IDI20041223000054

Areas of Expertise CMS Part B claims

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services12 patients

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.

Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Occupational Therapist
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Orthopaedic Surgery
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Occupational Therapist (Hand)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Clinic/Center (Ambulatory Surgical)
8100 NORTHLAND DR
MINNEAPOLIS, MN 55431
Specialist/Technologist (Athletic Trainer)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431
Family Medicine (Sports Medicine)
8100 NORTHLAND DR
BLOOMINGTON, MN 55431

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 Pamela Wagner's NPI number?

The NPI number for Pamela Wagner is 1104880418. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Pamela Wagner located?

Pamela Wagner practices at 8100 Northland Dr, Bloomington, MN 55431. The listed phone number is (952) 831-8742.

What is Pamela Wagner's specialty?

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

Is Pamela Wagner enrolled in Medicare?

Yes. Pamela 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 Pamela Wagner accept?

Health plans from Medica list Pamela 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.

When was this NPI record last updated?

The NPPES record for Pamela Wagner was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.