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SANDRA M WAGNER PA-C
NPI 1922034875
Physician Assistant in Chapel Hill, NC

Active since June 23, 2006PECOS Enrolled
101 MANNING DR, CHAPEL HILL, NC 27514(919) 966-4431 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra M Wagner Pa-c NPPES

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

SANDRA M WAGNER PA-C (NPI 1922034875) is an individual physician assistant in Chapel Hill, North Carolina, licensed in Wisconsin (617-023) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sun Prairie.

NPPES Registry Identity

NPI1922034875
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDRA M WAGNERCredential: PA-C
Location Address101 MANNING DRChapel Hill, NC 27514
Mailing Address302 Village Crossing DrChapel Hill, NC 27517 · (608) 332-9404
Phone(919) 966-4431
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 6, 2019
✔ NPI 1922034875 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 WI · 617-023
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.
101 MANNING DR, Chapel Hill, NC 27514
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Secondary Practice Location 1

Location 110 Tower DrSun Prairie, WI 53590-1239 · Phone (608) 825-3008 · Fax (608) 825-3786

Other Identifiers 2

Medicaid42935000WI
Other2292WI · Dean Health Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Sandra M Wagner 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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
33 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services13 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%50 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%52 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%64 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
81%31 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. TERESA MARY ANDERSON PHARM.D.
Pharmacist (Pharmacotherapy)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Orange County (919) 966-2457
DR. KAMAKSHI V RAO PHARMD, BCOP
Pharmacist (Oncology)
101 MANNING DR, CB#7600, UNC HOSPITAL
CHAPEL HILL, NC 27514
Orange County (919) 966-1434
MS. MELODY ANN WATRAL MSN, RN, CPNP
Nurse Practitioner
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (919) 966-8809
MORGAN TREPTE PHARM.D.
Pharmacist (Oncology)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Orange County (984) 974-8346
TREVOR STEPHEN BARLOWE
Student in an Organized Health Care Education/Training Program
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-1000
KRISTIN M HEAD RN
Registered Nurse
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-5421
KALYNN ANNE NORTHAM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-3765
KEVIN IVAN MORALES DEL MORAL
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27514
Orange County (984) 974-1000

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 Sandra Wagner's NPI number?

The NPI number for Sandra Wagner is 1922034875. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Sandra Wagner located?

Sandra Wagner practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (919) 966-4431.

What is Sandra Wagner's specialty?

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

Is Sandra Wagner enrolled in Medicare?

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

What insurance does Sandra Wagner accept?

Health plans from Blue Cross and Blue Shield of NC list Sandra 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 Sandra Wagner was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.