MS. JUDITH LYNN WAGENSOMER PA-C
NPI 1881711224
Physician Assistant in Detroit, MI

Active since March 22, 2007PECOS Enrolled
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-1545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Judith Lynn Wagensomer Pa-c NPPES

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

MS. JUDITH LYNN WAGENSOMER PA-C (NPI 1881711224) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601002034) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881711224
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JUDITH LYNN WAGENSOMERCredential: PA-C
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address3388 Riverside DrCanton, MI 48188-2337 · (734) 495-1232
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1881711224 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 · 5601002034
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.

2799 W GRAND BLVD, Detroit, MI 48202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Judith Lynn Wagensomer 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services17 patients
Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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.

Genetic Counselor, MS
2799 W GRAND BLVD, MEDICAL GENETICS CFP-4
DETROIT, MI 48202
Nurse Practitioner (Women's Health)
2799 W GRAND BLVD
DETROIT, MI 48202
Anesthesiology
2799 W GRAND BLVD
DETROIT, MI 48202
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2799 W GRAND BLVD, WP-1102A
DETROIT, MI 48202
Internal Medicine
2799 W GRAND BLVD, K-17
DETROIT, MI 48202
Pathology (Anatomic Pathology & Clinical Pathology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD, HENRY FORD DEPT. OF RADIOLOGY
DETROIT, MI 48202
Physician Assistant
2799 W GRAND BLVD
DETROIT, MI 48202

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 Judith Wagensomer's NPI number?

The NPI number for Judith Wagensomer is 1881711224. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Judith Wagensomer located?

Judith Wagensomer practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1545.

What is Judith Wagensomer's specialty?

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

Is Judith Wagensomer enrolled in Medicare?

Yes. Judith Wagensomer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Wagensomer was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.