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CATHERINE MICHELLE WAGNER MD
NPI 1477117463
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since April 25, 2019PECOS Enrolled
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C, ANN ARBOR, MI 48109(734) 647-7321(734) 362-5236 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2019, Apr 25, 2019 (2 updates tracked since 2019).

About Catherine Michelle Wagner Md NPPES

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

CATHERINE MICHELLE WAGNER MD (NPI 1477117463) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351044093) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477117463
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCATHERINE MICHELLE WAGNERCredential: MD
Location Address1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION CAnn Arbor, MI 48109-5856
Mailing Address1500 E Medical Center Drive, 5344 CvcAnn Arbor, MI 48109-5864
Phone(734) 647-7321
Fax(734) 362-5236
Sole ProprietorNo
Enumeration DateApril 25, 2019
Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration
✔ NPI 1477117463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351044093
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DRIVE, SPC 5856, Ann Arbor, MI 48109
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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)

Catherine Michelle Wagner Md 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.

Other Providers at the Same Location NPPES 9

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

JUAN SEBASTIAN CIFUENTES MUNOZ MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5850
GARDNER LEHRBACH YOST MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
KELLIE MARGORIE PHIPPS
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
DR. CHI CHI DO-NGUYEN DO
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
ALAN AHLAWAT SUMSKI MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, VASCULAR SURGERY CLINIC
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5850
JARRED R MONDONEDO MD, PHD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
SYED SIKANDAR RAZA
Hospitalist
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321
TEMILOLAOLUWA DARAMOLA MD
Internal Medicine
1500 E MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION C
ANN ARBOR, MI 48109
Washtenaw County (734) 647-7321

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 Catherine Wagner's NPI number?

The NPI number for Catherine Wagner is 1477117463. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Catherine Wagner located?

Catherine Wagner practices at 1500 E Medical Center Drive, Spc 5856 Fcvc 3rd Floor, Reception C, Ann Arbor, MI 48109. The listed phone number is (734) 647-7321.

What is Catherine Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Catherine Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Catherine Wagner was last updated on October 22, 2019. 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.