MRS. ASHLEY C WAGNER PA
NPI 1205078706
Physician Assistant - Medical in Crestview, FL

Active since March 30, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
350 REDSTONE AVE W, CRESTVIEW, FL 32536(850) 689-1740(850) 682-6652 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Ashley C Wagner Pa NPPES

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

MRS. ASHLEY C WAGNER PA (NPI 1205078706) is an individual medical provider in Crestview, Florida, licensed in Florida (PA9105434) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2008).

NPPES Registry Identity

NPI1205078706
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ASHLEY C WAGNERCredential: PA
Location Address350 REDSTONE AVE WCrestview, FL 32536-6433
Mailing Address350 Redstone Ave WCrestview, FL 32536-6433 · (850) 689-1740 · Fax (850) 682-6652
Fax(850) 682-6652
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2008
Enumeration DateMarch 30, 2009
Last NPPES UpdateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
NPI 1205078706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9105434
350 REDSTONE AVE W, Crestview, FL 32536

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

Mrs. Ashley C Wagner Pa 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 ID345379061
PECOS Enrollment IDI20100809001055
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.

Areas of Expertise CMS Part B claims 19

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,136 services216 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
952 services655 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
369 services288 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
236 services211 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
184 services170 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
177 services148 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 7

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

Physician Assistant
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Nurse Practitioner
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Dermatology
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Nurse Practitioner
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Physician Assistant (Medical)
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Dermatology
350 REDSTONE AVE W
CRESTVIEW, FL 32536
Dermatology
350 REDSTONE AVE W
CRESTVIEW, FL 32536

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 Ashley Wagner's NPI number?

The NPI number for Ashley Wagner is 1205078706. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Ashley Wagner located?

Ashley Wagner practices at 350 Redstone Ave W, Crestview, FL 32536. The listed phone number is (850) 689-1740.

What is Ashley Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ashley Wagner enrolled in Medicare?

Yes. Ashley 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.

When was this NPI record last updated?

The NPPES record for Ashley Wagner was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.