COURTNEY ANNE WAGNER PA-C
NPI 1619304904
Physician Assistant in East Greenwich, RI

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment
1598 S COUNTY TRL STE 100, EAST GREENWICH, RI 02818(401) 402-1040 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2018, Dec 29, 2015 (2 updates tracked since 2015).

About Courtney Anne Wagner Pa-c NPPES

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

COURTNEY ANNE WAGNER PA-C (NPI 1619304904) is an individual physician assistant in East Greenwich, Rhode Island, licensed in Rhode Island (PA00835) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619304904
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY ANNE WAGNERCredential: PA-C
Location Address1598 S COUNTY TRL STE 100East Greenwich, RI 02818
Mailing AddressPo Box 1119Providence, RI 02901-1119
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 1, 2013
Last NPPES UpdateAugust 6, 20182 updates tracked since enumeration
NPI 1619304904 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 RI · PA00835
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.
1598 S COUNTY TRL STE 100, East Greenwich, RI 02818

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

Courtney Anne 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 ID1355570094
PECOS Enrollment IDI20160205001081
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,140 services11 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
216 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services81 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
87 services48 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
69 services42 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
52 services15 patients

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02818 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 17

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

Neuromusculoskeletal Medicine & OMM
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Orthopaedic Surgery
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Physical Therapist
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Nurse Practitioner (Acute Care)
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Physical Therapist
1598 S COUNTY TRL STE 100
E GREENWICH, RI 02818
Physical Therapist
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Physical Medicine & Rehabilitation (Sports Medicine)
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Orthopaedic Surgery
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818

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 Courtney Wagner's NPI number?

The NPI number for Courtney Wagner is 1619304904. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Courtney Wagner located?

Courtney Wagner practices at 1598 S County Trl Ste 100, East Greenwich, RI 02818. The listed phone number is (401) 402-1040.

What is Courtney Wagner's specialty?

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

Is Courtney Wagner enrolled in Medicare?

Yes. Courtney 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 Courtney Wagner affiliated with any hospitals?

According to CMS data, Courtney Wagner is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Wagner was last updated on August 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.