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AIDEN VANWAGENEN
NPI 1235920323
Physician Assistant in Glens Falls, NY

Active since May 16, 2025PECOS EnrolledAccepts Medicare Assignment
102 PARK STREET, CR WOOD CANCER CENTER, GLENS FALLS, NY 12801(518) 926-6620(518) 926-6626 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 6, 2025, May 16, 2025 (2 updates tracked since 2025).

About Aiden Vanwagenen NPPES

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

AIDEN VANWAGENEN (NPI 1235920323) is an individual physician assistant in Glens Falls, New York, licensed in New York (033944) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235920323
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameAIDEN VANWAGENEN
Location Address102 PARK STREET, CR WOOD CANCER CENTERGlens Falls, NY 12801-4403
Mailing Address100 Park Street, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-6992 · Fax (518) 926-6983
Phone(518) 926-6620
Fax(518) 926-6626
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 16, 2025
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1235920323 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 NY · 033944
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
102 PARK STREET, Glens Falls, NY 12801
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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

Aiden Vanwagenen 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 ID244739860
PECOS Enrollment IDI20250819004190
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.

Hospital Affiliations CMS Care Compare 2

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 8

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

ADIRONDACK UROLOGY ASSOCIATES PC
Urology
102 PARK STREET, SUITE 201
GLENS FALLS, NY 12801
Warren County (518) 798-1719
KARI LYNN SUDFELD NP
Nurse Practitioner (Family)
102 PARK STREET, ADIRONDACK UROLOGY
GLENS FALLS, NY 12801
Warren County (518) 798-1719
KATELYN CERRONE PA-C
Physician Assistant
102 PARK STREET, GLENS FALLS HOSPITAL NEUROLOGY
GLENS FALLS, NY 12801
Warren County (518) 926-2940
BRIAN KING MD
Urology
102 PARK STREET, SUITE 201
GLENS FALLS, NY 12801
Warren County (518) 798-1719
RAYMOND A MADDOCKS MD
Urology
102 PARK STREET, SUITE 201
GLENS FALLS, NY 12801
Warren County (518) 798-1719
MELODY WICKS
Nurse Practitioner (Family)
102 PARK STREET, CR WOOD CANCER CENTER
GLENS FALLS, NY 12801
Warren County (518) 926-6620
KATHLEEN BUBNACK CROTTY PA-C
Physician Assistant
102 PARK STREET, GLENS FALLS HOSPITAL NEUROLOGY
GLENS FALLS, NY 12801
Warren County (518) 926-2940
DR. MARK MICHAEL HOFFMAN MD
Internal Medicine (Hematology & Oncology)
102 PARK STREET, CR WOOD CANCER CENTER
GLENS FALLS, NY 12801
Warren County (518) 926-6620

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 Aiden Vanwagenen's NPI number?

The NPI number for Aiden Vanwagenen is 1235920323. It was assigned to this individual provider in the NPPES registry on May 16, 2025.

Where is Aiden Vanwagenen located?

Aiden Vanwagenen practices at 102 Park Street Cr Wood Cancer Center, Glens Falls, NY 12801. The listed phone number is (518) 926-6620.

What is Aiden Vanwagenen's specialty?

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

Is Aiden Vanwagenen enrolled in Medicare?

Yes. Aiden Vanwagenen 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.

Is Aiden Vanwagenen affiliated with any hospitals?

According to CMS data, Aiden Vanwagenen is affiliated with Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Aiden Vanwagenen was last updated on August 6, 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.