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KATHRYN A WAGNER PA
NPI 1790827053
Physician Assistant in Ann Arbor, MI

Active since February 13, 2007PECOS Enrolled
1500 EAST MEDICAL CENTER DR, 3RD CARDIOVASCULAR CENTER RECP C, ANN ARBOR, MI 48109(888) 287-1082 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kathryn A Wagner Pa NPPES

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

KATHRYN A WAGNER PA (NPI 1790827053) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601003769) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790827053
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN A WAGNERCredential: PA
Location Address1500 EAST MEDICAL CENTER DR, 3RD CARDIOVASCULAR CENTER RECP CAnn Arbor, MI 48109-5864
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(888) 287-1082
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1790827053 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 MI · 5601003769
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.
1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48109
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Other Identifiers 2

Medicare UPINQ14970MI
Medicare ID-Type Unspecified0M52870086MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn A Wagner Pa 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 48109 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

NABIL ALKHOURY FALLOUH MD
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5582
PAUL DEREK FERNANDES BM
Anesthesiology
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
AUBREY LYNN BOUCHER PA-C
Physician Assistant
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP F
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
DONALD LAWSON JR. NP
Nurse Practitioner
1500 EAST MEDICAL CENTER DR, 3RD FLOOR C.S. MOTT CHILDREN'S HOSPITAL RECP C
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5780
MS. ALEXIS MAE PUNCHES NP
Nurse Practitioner (Critical Care Medicine)
1500 EAST MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 764-5302
PAULA K GLOBERSON CRNA
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
DR. CLINTON LEOPOLD GREENSTONE MD
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5582
RAYMOND J HUTCHINSON MD
Pediatrics (Pediatric Hematology-Oncology)
1500 EAST MEDICAL CENTER DR, 7TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-9814

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 Kathryn Wagner's NPI number?

The NPI number for Kathryn Wagner is 1790827053. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Kathryn Wagner located?

Kathryn Wagner practices at 1500 East Medical Center Dr 3rd Cardiovascular Center Recp C, Ann Arbor, MI 48109. The listed phone number is (888) 287-1082.

What is Kathryn Wagner's specialty?

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

Is Kathryn Wagner enrolled in Medicare?

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

What insurance does Kathryn Wagner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kathryn Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathryn Wagner was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.