MISS JOELLE SUSAN WAGNER PA NPI 1750858981

NPI Information

  • NPI: 1750858981
  • Provider Name: MISS JOELLE SUSAN WAGNER, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 767 MAIN STREET
    WEST SENECA, NY
    ZIP 14224
  • Phone: (716) 361-1624

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NPI Details

MISS Joelle Susan Wagner, PA is a surgical physician assistant in West Seneca, NY with 5 years of experience. MISS Joelle Susan Wagner, PA NPI is 1750858981. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

767 MAIN STREET
WEST SENECA, NY
ZIP 14224
Phone: (716) 361-1624

The NPI 1750858981 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
  • Fusion of spine in lower back with partial removal of spine bone and disc (HCPCS:22633)
  • Placement of stabilizing device to back of 1 spine bone in neck (HCPCS:22840)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 10/25/2018 and was last updated on 12/9/2020.

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
1363AS0400XPhysician AssistantSurgical025951-01NEW YORKYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 3/30/2025

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