AMANDA C WAGNER
NPI 1164058020
Nurse Anesthetist, Certified Registered in Rolla, MO

Q: What is Amanda Wagner's NPI number?

The NPI number for Amanda Wagner is 1164058020. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Q: What is Amanda Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Wagner was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 22, 2020Accepts Medicare Assignment

94.18/100

CMS Quality Rating

1000 W 10TH ST, ROLLA, MO 65401(573) 458-8899(573) 341-5611 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Mar 22, 2020 (2 updates tracked since 2020).

On this page

About Amanda C Wagner NPPES

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

AMANDA C WAGNER (NPI 1164058020) is an individual nurse anesthetist, certified registered in Rolla, Missouri, licensed in Missouri (2024020234) and active in the NPI registry since March 2020. She is affiliated with Phelps County Regional Medical Center, maintains a secondary practice location in Flushing, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164058020

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameAMANDA C WAGNER

Location Address1000 W 10TH STRolla, MO 65401

Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 458-8899 · Fax (573) 341-5611

Phone(573) 458-8899

Fax(573) 341-5611

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 22, 2020

Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1164058020 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

Licenses✔ Licensed in MO · 2024020234✔ Licensed in FL · RN9407106✔ Licensed in NY · 786638

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.

1000 W 10TH ST, Rolla, MO 65401

Open in Google Maps ↗

Secondary Practice Location 1

Location 15645 Main StFlushing, NY 11355-5045 · Phone (718) 670-2000

Accepted Insurance

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

Amanda C Wagner 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 ID648696450

PECOS Enrollment IDI20240726001080

Hospital Affiliations CMS Care Compare 2

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260017

Location1000 W 10th StRolla, MO 65401 · Phelps County

Emergency services Birthing friendly

Mercy Hospital Lebanon

Acute Care Hospitals · Lebanon, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260059

Location100 Hospital DriveLebanon, MO 65536 · Laclede County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

94.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.28

Promoting Interoperability

100

Improvement Activities

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.

OSAGE BONE AND JOINT CLINIC, INC

Orthopaedic Surgery

1000 W 10TH ST, STE A
ROLLA, MO 65401

Phelps County (573) 364-5633

MS. CANDY SADLER AGNP

Nurse Practitioner (Adult Health)