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LAURA WAGNER INC
NPI 1194956276
Dermatology in Town And Country, MO

Active since August 06, 2009CLIA 26D0943616 · Microscopy
14377 WOODLAKE DR, SUITE 111, TOWN AND COUNTRY, MO 63017(314) 434-1111(314) 434-1127 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Laura Wagner Inc NPPES

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

LAURA WAGNER INC (NPI 1194956276) is a healthcare organization registered as a dermatology in Town And Country, Missouri and active in the NPI registry since August 2009. The organization holds a CLIA Microscopy certificate valid through March 30, 2028 and lists Laura Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1194956276
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAURA WAGNER INC
Location Address14377 WOODLAKE DR, SUITE 111Town And Country, MO 63017-5735
Mailing AddressPo Box 790379Saint Louis, MO 63179-0379 · (314) 434-1111 · Fax (314) 434-1112
Phone(314) 434-1111
Fax(314) 434-1127
Organization SubpartNo
Authorized OfficialLaura WagnerPresident · (314) 434-1111
Enumeration DateAugust 6, 2009
Last NPPES UpdateNovember 28, 2012
✔ NPI 1194956276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
14377 WOODLAKE DR, Town And Country, MO 63017
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Other Identifiers 2

Other000094839MO · Ptan
Medicare UPINF58335MO

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Wagner Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Laura Wagner Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Laura Wagner, M.D.
Dermatology
NPI 1669445060
14377 WOODLAKE DR SUITE 111
Chesterfield, MO 63017
(314) 434-1111
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0943616

Laura Wagner MD · Town And Country, MO
Active · expires Mar 30, 2028
CLIA Number26D0943616
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorLaura Wagner MD
Laboratory Phone(314) 434-1111
Laboratory LocationLaura Wagner MD14377 Woodlake Drive, Ste 111, Town And Country, MO 63017
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Laura Wagner Inc's NPI number?

The NPI number for Laura Wagner Inc is 1194956276. It was assigned to this organization in the NPPES registry on August 6, 2009.

Where is Laura Wagner Inc located?

Laura Wagner Inc is located at 14377 Woodlake Dr Suite 111, Town And Country, MO 63017. The listed phone number is (314) 434-1111.

What is Laura Wagner Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Laura Wagner Inc enrolled in Medicare?

Yes. Laura Wagner Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laura Wagner Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Laura Wagner Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Laura Wagner Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0943616) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laura Wagner Inc was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.