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MITCHELL WAGNER MD
NPI 1447330741
Orthopaedic Surgery - Orthopaedic Trauma in Wickenburg, AZ

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
520 ROSE LN, WICKENBURG, AZ 85390(928) 684-4365(928) 684-2434 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2016, Jan 25, 2016 (2 updates tracked since 2016).

About Mitchell Wagner Md NPPES

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

MITCHELL WAGNER MD (NPI 1447330741) is an individual orthopaedic trauma provider in Wickenburg, Arizona, licensed in Arizona (27272) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1990).

NPPES Registry Identity

NPI1447330741
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameMITCHELL WAGNERCredential: MD
Location Address520 ROSE LNWickenburg, AZ 85390-1447
Mailing Address520 Rose LnWickenburg, AZ 85390-1447 · (928) 684-4365 · Fax (928) 684-2434
Phone(928) 684-4365
Fax(928) 684-2434
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1990
Enumeration DateOctober 17, 2006
Last NPPES UpdateFebruary 3, 20162 updates tracked since enumeration
✔ NPI 1447330741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in AZ · 27272
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 27272 (AZ)
520 ROSE LN, Wickenburg, AZ 85390
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Other Identifiers 4

Medicare PINZ145486AZ
Other7878067AZ · Aetna
OtherAZ0866130AZ · Bcbs
Medicaid457920AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Mitchell Wagner Md 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 ID2668430588
PECOS Enrollment IDI20041223000235
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.

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.

MIKAILA RENAE CARAVEO RUIZ PTA
Physical Therapy Assistant
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5529
MS. WENDY THOMAS DPT
Physical Therapist
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 648-5421
KIRBY FARNSWORTH D.O.
Emergency Medicine
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 668-1803
DR. ROBERT CAMERON RIPLEY M.D.
Surgery
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421
DR. DENNIS A BARRACO DO
Emergency Medicine
520 ROSE LN, WICKENBURG REGIONAL MED CENTER
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421
ICORE RADIOLOGY INC
Clinic/Center (Radiology)
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421
MR. KEVIN LAMAR REDUS PA-C
Physician Assistant (Surgical)
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (928) 684-5421
ANU HOSPITALIST PLLC
Internal Medicine
520 ROSE LN
WICKENBURG, AZ 85390
Maricopa County (702) 453-3799

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 Mitchell Wagner's NPI number?

The NPI number for Mitchell Wagner is 1447330741. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Mitchell Wagner located?

Mitchell Wagner practices at 520 Rose Ln, Wickenburg, AZ 85390. The listed phone number is (928) 684-4365.

What is Mitchell Wagner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Mitchell Wagner enrolled in Medicare?

Yes. Mitchell 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.

What insurance does Mitchell Wagner accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Mitchell Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Wagner was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.