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SYDNEY NOELLE WAGNER PA-C
NPI 1275407264
Physician Assistant in Lansing, MI

Active since October 02, 2025PECOS Enrolled
1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-5490 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sydney Noelle Wagner Pa-c NPPES

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

SYDNEY NOELLE WAGNER PA-C (NPI 1275407264) is an individual physician assistant in Lansing, Michigan, licensed in Michigan (5601013326) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275407264
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSYDNEY NOELLE WAGNERCredential: PA-C
Location Address1215 E MICHIGAN AVELansing, MI 48912-1811
Mailing Address1215 E Michigan AveLansing, MI 48912-1811
Phone(517) 364-5490
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 2, 2025
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1275407264 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 MI · 5601013326
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.
1215 E MICHIGAN AVE, Lansing, MI 48912
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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 (PECOS)

Sydney Noelle Wagner Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446732457
PECOS Enrollment IDI20260306003197
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 48912 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

DANIEL FRANCIS BOUCHARD D.O.
Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (231) 955-3360
DR. JESSICA FROST MD
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5610
MR. GARRETT SMIGELSKI PA-C
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-3380
DR. AMY RENEE DRABANT DO
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
DR. EVAN DAVID TYSON BRUCE MD
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
JANA HAIDAR AHMAD MD
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5710
MR. ANDREW SIDNEY COOPER CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789
MS. KARI LYN FORRO CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789

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 Sydney Wagner's NPI number?

The NPI number for Sydney Wagner is 1275407264. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Sydney Wagner located?

Sydney Wagner practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-5490.

What is Sydney Wagner's specialty?

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

Is Sydney Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sydney Wagner was last updated on May 27, 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.