MOLLY BROWN WAGONER PA-C
NPI 1780820324
Physician Assistant in Sioux Falls, SD

Q: What is Molly Wagoner's NPI number?

The NPI number for Molly Wagoner is 1780820324. It was assigned to this individual provider in the NPPES registry on January 4, 2009.

Q: What is Molly Wagoner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Molly Wagoner was last updated on January 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 04, 2009PECOS Enrolled

2501 W 22ND ST, SIOUX FALLS, SD 57105(605) 336-3230 Get Directions Write a Review

NPPES record last updated: January 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Molly Brown Wagoner Pa-c NPPES

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

MOLLY BROWN WAGONER PA-C (NPI 1780820324) is an individual physician assistant in Sioux Falls, South Dakota and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780820324

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMOLLY BROWN WAGONERCredential: PA-C

Location Address2501 W 22ND STSioux Falls, SD 57105-1305

Mailing Address2501 W 22nd StSioux Falls, SD 57105-1305 · (605) 336-3230

Phone(605) 336-3230

Sole ProprietorNo

Enumeration DateJanuary 4, 2009

✔ NPI 1780820324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

2501 W 22ND ST, Sioux Falls, SD 57105

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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)

Molly Brown Wagoner Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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 20

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

DR. JORGE E PATINO-BUELVAS M.D.

Family Medicine