SAMANTHA WAGNON
NPI 1427692631
Nurse Anesthetist, Certified Registered in Fort Collins, CO

Q: What is Samantha Wagnon's NPI number?

The NPI number for Samantha Wagnon is 1427692631. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Q: What is Samantha Wagnon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wagnon was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 30, 2019Accepts Medicare Assignment

3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525(970) 224-2985 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2020, Oct 30, 2019 (2 updates tracked since 2019).

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About Samantha Wagnon NPPES

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

SAMANTHA WAGNON (NPI 1427692631) is an individual nurse anesthetist, certified registered in Fort Collins, Colorado, licensed in Colorado (126640) and active in the NPI registry since October 2019. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1427692631

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameSAMANTHA WAGNON

Location Address3702 AUTOMATION WAY STE 103Fort Collins, CO 80525-5738

Mailing Address866 S Reed Ct Apt FLakewood, CO 80226-4497

Phone(970) 224-2985

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 30, 2019

Last NPPES UpdateMay 18, 20202 updates tracked since enumeration

NPPES CertifiedMay 18, 2020

✔ NPI 1427692631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in CO · 126640

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 22583017 (CO)

3702 AUTOMATION WAY STE 103, Fort Collins, CO 80525

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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

Samantha Wagnon 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 ID1456789932

PECOS Enrollment IDI20200316001710

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80525 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

LINDSAY SIEBENALER CRNA

Nurse Anesthetist, Certified Registered