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SHANNON WAGNER
NPI 1255188389
Physician Assistant in Arden Hills, MN

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
2 PINE TREE DR, ARDEN HILLS, MN 55112(651) 635-8000 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Wagner NPPES

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

SHANNON WAGNER (NPI 1255188389) is an individual physician assistant in Arden Hills, Minnesota and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255188389
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON WAGNER
Location Address2 PINE TREE DRArden Hills, MN 55112-3754
Mailing Address4401 Abbott Ave NRobbinsdale, MN 55422-1416
Phone(651) 635-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1255188389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2 PINE TREE DR, Arden Hills, MN 55112
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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

Shannon Wagner 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 ID3476039892
PECOS Enrollment IDI20260115000920
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 55112 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

SAMANTHA SCHIMBKE
Student in an Organized Health Care Education/Training Program
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 635-8000
TAYLOR ADAMS
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 645-8000
JASMINE MOLIKA QUINLAN
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
GRACE ELIZABETH GINTER
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
SALMA ZAHRAN
Student in an Organized Health Care Education/Training Program
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (763) 245-6180
LAURYN RENEE CAULLEY
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 635-8000
MATTIE VIRGINIA OBREGON
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 638-6400
MADELINE ROSE MUNSTERMAN
Physician Assistant
2 PINE TREE DR
ARDEN HILLS, MN 55112
Ramsey County (651) 635-8000

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 Shannon Wagner's NPI number?

The NPI number for Shannon Wagner is 1255188389. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Shannon Wagner located?

Shannon Wagner practices at 2 Pine Tree Dr, Arden Hills, MN 55112. The listed phone number is (651) 635-8000.

What is Shannon Wagner's specialty?

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

Is Shannon Wagner enrolled in Medicare?

Yes. Shannon 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 Shannon Wagner was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.