JOANNA WAGNER PA-C
NPI 1174102016
Physician Assistant in Selinsgrove, PA

Active since April 07, 2021
201 ROOSEVELT AVE, SELINSGROVE, PA 17870(570) 374-0151 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2021, Apr 7, 2021 (2 updates tracked since 2021).

About Joanna Wagner Pa-c NPPES

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

JOANNA WAGNER PA-C (NPI 1174102016) is an individual physician assistant in Selinsgrove, Pennsylvania, licensed in Pennsylvania (MA062437) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1174102016
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOANNA WAGNERCredential: PA-C
Location Address201 ROOSEVELT AVESelinsgrove, PA 17870-7969
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
NPI 1174102016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA062437
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MA062437 (PA)
201 ROOSEVELT AVE, Selinsgrove, PA 17870

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
201 ROOSEVELT AVE
SELINSGROVE, PA 17870
Internal Medicine
201 ROOSEVELT AVE
SELINSGROVE, PA 17870
Psychologist
201 ROOSEVELT AVE
SELINSGROVE, PA 17870
Pharmacist
201 ROOSEVELT AVE
SELINSGROVE, PA 17870
Family Medicine
201 ROOSEVELT AVE
SELINSGROVE, PA 17870
Physician Assistant
201 ROOSEVELT AVE
SELINSGROVE, PA 17870
Physician Assistant
201 ROOSEVELT AVE
SELINSGROVE, PA 17870
Physician Assistant
201 ROOSEVELT AVE
SELINSGROVE, PA 17870

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 Joanna Wagner's NPI number?

The NPI number for Joanna Wagner is 1174102016. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Joanna Wagner located?

Joanna Wagner practices at 201 Roosevelt Ave, Selinsgrove, PA 17870. The listed phone number is (570) 374-0151.

What is Joanna Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Joanna Wagner was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.