1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Physician Assistant
  6. NPI Profile

ROBERT STANLEY WAGNER
NPI 1265071419
Physician Assistant in Washington, DC

Active since January 04, 2020PECOS Enrolled
3800 RESERVOIR RD NW # 2PHC, WASHINGTON, DC 20007(954) 262-1250 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 1, 2026, Apr 27, 2022, Jan 4, 2020 (3 updates tracked since 2020).

About Robert Stanley Wagner NPPES

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

ROBERT STANLEY WAGNER (NPI 1265071419) is an individual physician assistant in Washington, District Of Columbia, licensed in New York (035762) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265071419
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT STANLEY WAGNER
Location Address3800 RESERVOIR RD NW # 2PHCWashington, DC 20007-2113
Mailing Address3200 S University DrDavie, FL 33328-2018 · (954) 262-1250
Phone(954) 262-1250
Sole ProprietorNo
Enumeration DateJanuary 4, 2020
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1265071419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 035762
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.
3800 RESERVOIR RD NW # 2PHC, Washington, DC 20007
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 20007 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 5

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

LAUREN TAYLOR PARRISH PA-C
Physician Assistant
3800 RESERVOIR RD NW # 2PHC
WASHINGTON, DC 20007
District of Columbia (202) 444-3700
JAMIE RUBIN
Physician Assistant (Medical)
3800 RESERVOIR RD NW # 2PHC
WASHINGTON, DC 20007
District of Columbia (202) 444-3700
KAREN LEORA SIDRANSKY PA-C
Physician Assistant
3800 RESERVOIR RD NW # 2PHC
WASHINGTON, DC 20007
District of Columbia (202) 444-3700
KATHRYN PIERCE
Nurse Practitioner (Acute Care)
3800 RESERVOIR RD NW # 2PHC
WASHINGTON, DC 20007
District of Columbia (703) 785-9428
WINCENT FONTENELLE FNP-BC
Nurse Practitioner (Family)
3800 RESERVOIR RD NW # 2PHC
WASHINGTON, DC 20007
District of Columbia (202) 444-3700

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 Robert Wagner's NPI number?

The NPI number for Robert Wagner is 1265071419. It was assigned to this individual provider in the NPPES registry on January 4, 2020.

Where is Robert Wagner located?

Robert Wagner practices at 3800 Reservoir Rd NW # 2phc, Washington, DC 20007. The listed phone number is (954) 262-1250.

What is Robert Wagner's specialty?

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

Is Robert Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Robert Wagner was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.