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ELLEN AFRICANO WAGNER CRNA
NPI 1679975411
Nurse Anesthetist, Certified Registered in Flossmoor, IL

Active since September 24, 2014Accepts Medicare Assignment
76.83/100
CMS Quality Rating
19624 GOVERNORS HWY, FLOSSMOOR, IL 60422(708) 798-5838(708) 798-5865 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Sep 13, 2017 (2 updates tracked since 2017).

About Ellen Africano Wagner Crna NPPES

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

ELLEN AFRICANO WAGNER CRNA (NPI 1679975411) is an individual nurse anesthetist, certified registered in Flossmoor, Illinois, licensed in Illinois (209.012203) and active in the NPI registry since September 2014. She is a graduate of Other (2014).

NPPES Registry Identity

NPI1679975411
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameELLEN AFRICANO WAGNERCredential: CRNA
Location Address19624 GOVERNORS HWYFlossmoor, IL 60422-2077
Mailing Address1713 N Vine StChicago, IL 60614-5119 · (312) 513-2177
Phone(708) 798-5838
Fax(708) 798-5865
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 24, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1679975411 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 IL · 209.012203
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 041372498 (IL)
19624 GOVERNORS HWY, Flossmoor, IL 60422
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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

Ellen Africano Wagner Crna 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 ID7113292384
PECOS Enrollment IDI20171013003043

Areas of Expertise CMS Part B claims 10

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
246 services244 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
235 services229 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
112 services111 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
112 services112 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
63 services60 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60422 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.66
Improvement Activities40

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.

MRS. PATRICIA JEAN MURTAUGH CRNA
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
CAPLEA FAMILY MEDICINE
Family Medicine
19624 GOVERNORS HWY, SUITE 9
FLOSSMOOR, IL 60422
Cook County (708) 647-9800
MRS. NANCY FROST C.R.N.A
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
KENNETH C LEEBERG CRNA
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
DR. ANDREA LINDLEY CAPLEA M.D.
Family Medicine
19624 GOVERNORS HWY, SUITE 9
FLOSSMOOR, IL 60422
Cook County (708) 647-9800
JERRIE J POSTHUMUS C.R.N.A
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
MR. DANIEL RINALDI C.R.N.A.
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
SHELENA CLAY
Counselor (Mental Health)
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (872) 225-8293

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 Ellen Wagner's NPI number?

The NPI number for Ellen Wagner is 1679975411. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Ellen Wagner located?

Ellen Wagner practices at 19624 Governors Hwy, Flossmoor, IL 60422. The listed phone number is (708) 798-5838.

What is Ellen Wagner's specialty?

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

Is Ellen Wagner enrolled in Medicare?

Yes. Ellen 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.

When was this NPI record last updated?

The NPPES record for Ellen Wagner was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.