MICHAEL DAVID WAGNER (NPI# 1699384958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699384958 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID WAGNER |
| Credential | RN, CNP |
| Practice Address |
2110 E Center St Rochester MN 55904-4754 |
| Mailing Address |
215 Elton Hills Dr Nw Apt 11 Rochester MN 55901-2483 |
| Practice Telephone | 5072870674 |
| Mailing Telephone | 5076962157 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 191995-4 | MN | Nursing Service Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7558 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1285169037 | Michael Wagner | Student in an Organized Health Care Education/Training Program | 4316 E Avalon Dr, #11, Phoenix, AZ 85018-7245 | 2017-04-28 |
| 1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
| 1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
| 1013154293 | Michael James Wagner | Counselor | 10207 E Shady Rock Ln, Tucson, AZ 85749-8162 | 2009-01-09 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| 1609903178 | Michael John Wagner | Dentist | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2007-02-28 |
| 1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
| 1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
| Street Address |
2110 E CENTER ST |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765982 | David Lyndon Edwardy | Family Medicine | 2110 E Center St, Rochester, MN 55904-4754 | 2005-10-26 |
| 1477040012 | Kevin Dean Elker | Clinical Nurse Specialist | 2110 E Center St, Rochester, MN 55904-4754 | 2018-04-19 |
| 1053808840 | Lesley Ann Hatfield | Physician Assistant | 2110 E Center St, Rochester, MN 55904-4754 | 2018-04-17 |
| 1447757091 | Nancy Elizabeth Jordan | General Practice | 2110 E Center St, Rochester, MN 55904-4754 | 2018-04-10 |
| 1710490776 | Jason Matthew Stone | Nurse Practitioner | 2110 E Center St, Rochester, MN 55904-4754 | 2017-11-13 |
| 1780899518 | Us Department of Justice | General Practice | 2110 E Center St, Rochester, MN 55904 | 2007-05-14 |
| 1558483719 | Liatte Krueger | Pharmacist | 2110 E Center St, Rochester, MN 55904-4754 | 2007-04-06 |
| 1942384631 | Felipe Guzman-zamarron | Occupational Therapist | 2110 E Center St, Rochester, MN 55904-4754 | 2006-10-25 |
| 1497700298 | Sean T O'grady | Emergency Medicine | 2110 E Center St, Rochester, MN 55904-4754 | 2006-05-23 |
| 1205886538 | Norman S. Booth | Physician Assistant | 2110 E Center St, Rochester, MN 55904-4754 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870825 | Eyita Gaga | Registered Nurse | 848 2nd St Nw, Rochester, MN 55901-2773 | 2020-10-28 |
| 1225637770 | Michelle Suesann Arancio | Registered Nurse | 38 Box Turtle Dr, Rochester, MA 02770-2152 | 2020-10-25 |
| 1457950990 | Brittany Ann Tehan | Registered Nurse | 338 Mercer Ave, Rochester, NY 14606-4126 | 2020-10-24 |
| 1194324889 | Nichole Marie Tuggles | Registered Nurse | 37 Drexel Dr, Rochester, NY 14606-5305 | 2020-10-22 |
| 1417563917 | Sheena Bozman | Registered Nurse | 13 Sunpath Way, Rochester, NY 14624-2495 | 2020-09-20 |
| 1518572908 | Shannon Walsten | Registered Nurse | 216 Emory Ln Se, Rochester, MN 55904-8479 | 2020-09-11 |
| 1164032181 | Ashley Florence Cortese | Registered Nurse | 20a Northgate Mnr, Rochester, NY 14616-2637 | 2020-08-04 |
| 1699399105 | Cynquinthia Copes | Registered Nurse | 242 Milford St Apt 8, Rochester, NY 14615-1833 | 2020-06-01 |
| 1326662065 | Vanessa Fisher | Registered Nurse | 4545 Arctic Fox Rd Nw, Rochester, MN 55901-3914 | 2020-05-28 |
| 1417570391 | Elizabeth Mauser | Registered Nurse | 4947 Castleview Dr Nw, Rochester, MN 55901-2279 | 2020-05-26 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.