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AMELIE WAGNER, M.D.
NPI 1912772336
Family Medicine in Murrieta, CA

Active since November 15, 2023CLIA 05D2310756 · Waiver
40700 CALIFORNIA OAKS RD STE 208, MURRIETA, CA 92562(888) 858-2002 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 13, 2025, Aug 6, 2024, Jul 11, 2024 and 1 more (4 updates tracked since 2023).

About Amelie Wagner, M.d. NPPES

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

AMELIE WAGNER, M.D. (NPI 1912772336), doing business as Ally Clinics Medical Practice, is a healthcare organization registered as a family medicine in Murrieta, California and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through September 9, 2028 and lists Amelie Corinne Wagner, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1912772336
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMELIE WAGNER, M.D.
Location Address40700 CALIFORNIA OAKS RD STE 208Murrieta, CA 92562-5789
Mailing Address40960 California Oaks Rd # 1061Murrieta, CA 92562-5747
Phone(888) 858-2002
Organization SubpartNo
Authorized OfficialAmelie Corinne WagnerChief Executive Officer · (408) 757-0730
Enumeration DateNovember 15, 2023
Last NPPES UpdateMarch 13, 20254 updates tracked since enumeration
NPPES CertifiedMarch 13, 2025
✔ NPI 1912772336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
40700 CALIFORNIA OAKS RD STE 208, Murrieta, CA 92562
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Other Names 1

Doing Business AsAlly Clinics Medical Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amelie Wagner, M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Amelie Wagner, M.D., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Meldy Avila, NP
Nurse Practitioner
NPI 1760623854
40700 CALIFORNIA OAKS RD STE 208
Murrieta, CA 92562
(888) 858-2002
✔ PECOSSame address
Carrie Gerdik, FNP
Nurse Practitioner
NPI 1932451853
40700 CALIFORNIA OAKS RD STE 208
Murrieta, CA 92562
(888) 858-2002
✔ PECOSSame address
Amelie Wagner, MD
Family Practice
NPI 1538823760
40700 CALIFORNIA OAKS RD STE 208
Murrieta, CA 92562
(888) 858-2002
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2310756

Amelie Wagner MD · Murrieta, CA
Active · expires Sep 9, 2028
CLIA Number05D2310756
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2026
Certificate Expiration DateSeptember 9, 2028
Laboratory DirectorAmelie Wagner
Laboratory Phone(408) 757-0730
Laboratory LocationAmelie Wagner MD40700 California Oaks Rd Ste 208, Murrieta, CA 92562
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Amelie Wagner, M.D.'s NPI number?

The NPI number for Amelie Wagner, M.D. is 1912772336. It was assigned to this organization in the NPPES registry on November 15, 2023. The provider is doing business as Ally Clinics Medical Practice.

Where is Amelie Wagner, M.D. located?

Amelie Wagner, M.D. is located at 40700 California Oaks Rd Ste 208, Murrieta, CA 92562. The listed phone number is (888) 858-2002.

What is Amelie Wagner, M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amelie Wagner, M.D. enrolled in Medicare?

Yes. Amelie Wagner, M.D. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amelie Wagner, M.D.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Amelie Wagner, M.D., in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amelie Wagner, M.D. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2310756) is associated with this NPI, valid through September 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amelie Wagner, M.D. was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.