DR. STEPHEN R WAGNER NPI 1063524387

NPI Information

  • NPI: 1063524387
  • Provider Name: DR. STEPHEN R WAGNER
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 SMITH AVE N
    SAINT PAUL, MN
    ZIP 55102
  • Phone: (651) 735-0501

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NPI Details

DR. Stephen R Wagner is a pain medicine anesthesiology in Saint Paul, MN with 35 years of experience. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. DR. Stephen R Wagner NPI is 1063524387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

333 SMITH AVE N
SAINT PAUL, MN
ZIP 55102-344
Phone: (651) 735-0501
Fax: (651) 735-1870

The NPI 1063524387 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for lens surgery (HCPCS:00142)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of anesthetic agent and/or steroid into thigh nerve (HCPCS:64447)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Anesthesia for procedure for total knee joint replacement (HCPCS:01402)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Anesthesia for other procedure on eye (HCPCS:00140)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology35533MINNESOTANo
2208VP0014XPain MedicineInterventional Pain Medicine35533MINNESOTANo
3207LP2900XAnesthesiologyPain Medicine35533MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1386213500MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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