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Caitlin E Wagner, AA

Anesthesiologist Assistant in Saint Louis, MO. Individual provider (NPI-1).

NPI number1265042014
StatusActive
Last updated in NPPESSep 4, 2020

Details

NPI
1265042014
Entity type
Individual (NPI-1)
Name
Caitlin E Wagner
Credential
AA
Sex
Female
Sole proprietor
No
Enumeration date
Aug 6, 2020
Certification date
Sep 4, 2020
Last updated
Sep 4, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - ANESTHESIOLOGY ASSISTANT
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant2020029245MOYes

Practice location

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Phone 636-386-7222

Mailing address

Po Box 22407
Saint Louis, MO 63126-0407

Phone 636-386-7222

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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