Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. ALAN DUANE WAGNER CRNA
NPI 1881686244
Nurse Anesthetist, Certified Registered in Carbondale, IL

Active since August 22, 2005
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Alan Duane Wagner Crna NPPES

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

MR. ALAN DUANE WAGNER CRNA (NPI 1881686244) is an individual nurse anesthetist, certified registered in Carbondale, Illinois and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1881686244
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. ALAN DUANE WAGNERCredential: CRNA
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing Address35 Albany Rd, Suite CCarbondale, IL 62903-7605 · (618) 457-5111 · Fax (618) 457-6560
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1881686244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
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.

405 W JACKSON ST, Carbondale, IL 62901

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.

Anesthesiology
405 W JACKSON ST, MEMORIAL HOSPITAL OF CARBONDALE
CARBONDALE, IL 62901
Occupational Therapist
405 W JACKSON ST
CARBONDALE, IL 62901
Physical Therapist
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Dietitian, Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Hospitalist
405 W JACKSON ST
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881686244, enumerated as an "individual" on August 22, 2005.

The provider is located at 405 W JACKSON ST CARBONDALE, IL 62901 and the phone number is (618) 549-0721.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.