Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAYLOR ALEXIS WAGNER PA-C
NPI 1497572671
Physician Assistant - Medical in Corry, PA

Active since September 20, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, Sep 20, 2024 (2 updates tracked since 2024).

About Taylor Alexis Wagner Pa-c NPPES

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

TAYLOR ALEXIS WAGNER PA-C (NPI 1497572671) is an individual medical provider in Corry, Pennsylvania, licensed in Pennsylvania (MA065975) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and maintains a secondary practice location in Erie.

NPPES Registry Identity

NPI1497572671
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTAYLOR ALEXIS WAGNERCredential: PA-C
Location Address315 YORK STCorry, PA 16407-1412
Mailing Address4127 Zimmerman RdErie, PA 16510-3664 · (814) 520-7069
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 20, 2024
Last NPPES UpdateJune 16, 20262 updates tracked since enumeration
NPPES CertifiedJune 16, 2026
NPI 1497572671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA065975
315 YORK ST, Corry, PA 16407

Other Names 1

Former Name (1)Taylor Taft

Secondary Practice Location 1

Location 13413 Cherry StErie, PA 16508-2678 · Phone (814) 868-9828

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

Taylor Alexis Wagner Pa-c 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 ID4880128271
PECOS Enrollment IDI20241107001712
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number391308
Location965 Shamrock LaneCorry, PA 16407 · Erie County
Emergency services

Other Providers at the Same Location NPPES 12

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

Clinic/Center (Rural Health)
315 YORK ST
CORRY, PA 16407
Family Medicine
315 YORK ST, MEDICAL GROUP OF CORRY, INC
CORRY, PA 16407
Physician Assistant
315 YORK ST
CORRY, PA 16407
Family Medicine
315 YORK ST
CORRY, PA 16407
Nurse Practitioner (Family)
315 YORK ST
CORRY, PA 16407
Non-Pharmacy Dispensing Site
315 YORK ST
CORRY, PA 16407
Nurse Practitioner (Family)
315 YORK ST
CORRY, PA 16407
Nurse Practitioner (Family)
315 YORK ST
CORRY, PA 16407

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 Taylor Wagner's NPI number?

The NPI number for Taylor Wagner is 1497572671. It was assigned to this individual provider in the NPPES registry on September 20, 2024. The provider is also known as Taylor Taft.

Where is Taylor Wagner located?

Taylor Wagner practices at 315 York St, Corry, PA 16407. The listed phone number is (814) 664-8686.

What is Taylor Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Taylor Wagner enrolled in Medicare?

Yes. Taylor 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.

Is Taylor Wagner affiliated with any hospitals?

According to CMS data, Taylor Wagner is affiliated with Saint Vincent Hospital and Lecom Health Corry Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Taylor Wagner was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.