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MICHAELA RENEE WAGNER DO
NPI 1174264865
Pediatrics in Lewistown, PA

Active since April 05, 2022PECOS Enrolled
21 GEISINGER LN, LEWISTOWN, PA 17044(717) 242-4200(717) 242-4237 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Michaela Renee Wagner Do NPPES

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

MICHAELA RENEE WAGNER DO (NPI 1174264865) is an individual pediatrics provider in Lewistown, Pennsylvania, licensed in Pennsylvania (OS024507) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174264865
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHAELA RENEE WAGNERCredential: DO
Location Address21 GEISINGER LNLewistown, PA 17044-3400
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (717) 242-4200 · Fax (717) 242-4237
Phone(717) 242-4200
Fax(717) 242-4237
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1174264865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · OS024507
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
21 GEISINGER LN, Lewistown, PA 17044
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michaela Renee Wagner Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618357278
PECOS Enrollment IDI20250826000685
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17044 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GEISINGER PHARMACY, LLC
Pharmacy (Community/Retail Pharmacy)
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 242-4264
DR. DALE C. KEPHART M.D.
Dermatology
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 242-4200
EMILEE RUNK PA-C
Physician Assistant
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 242-7340
RACHEL LYDEN PA-C
Physician Assistant
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 242-4200
COLT BRACKBILL PA-C
Physician Assistant
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 242-4200
ELAINE A BRIDGENS PA-C
Physician Assistant
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 242-4200
JULIE ANN MARTINEZ RDN, LDN
Dietitian, Registered
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 248-5411
MS. NATALIE R STEFFEN PA-C
Physician Assistant
21 GEISINGER LN
LEWISTOWN, PA 17044
Mifflin County (717) 242-4200

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 Michaela Wagner's NPI number?

The NPI number for Michaela Wagner is 1174264865. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Michaela Wagner located?

Michaela Wagner practices at 21 Geisinger Ln, Lewistown, PA 17044. The listed phone number is (717) 242-4200.

What is Michaela Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michaela Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michaela Wagner was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.