JESSICA WAGNER (NPI# 1649837246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649837246 |
| Entity Type | Individual |
| Full Name | JESSICA WAGNER |
| Credential | PA-C |
| Practice Address |
1296 Jeffco Blvd Arnold MO 63010-2138 |
| Mailing Address |
219 Stillbrook Estates Dr Fenton MO 63026-6505 |
| Practice Telephone | 6363218610 |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2019009367 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1629608104 | Jessica E Wagner | Psychologist | 4633 Aicholtz Rd, Cincinnati, OH 45244-1447 | 2020-01-23 |
| 1134604648 | Jessica Wagner | Registered Nurse | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2018-10-01 |
| 1265982474 | Jessica Wagner | Counselor | 224 Alexander St, Rochester, NY 14607-4000 | 2016-10-12 |
| 1013365246 | Jessica Lynn Wagner | Audiologist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2016-05-27 |
| 1245606441 | Jessica Danielle Wagner | Nurse Practitioner | 7334 S Lindbergh Blvd, Saint Louis, MO 63125-4522 | 2015-08-11 |
| 1891187951 | Jessica Wagner | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2015-02-26 |
| 1316347198 | Jessica Wagner | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2014-08-28 |
| 1558701839 | Jessica Leigh Wagner | Behavioral Analyst | 901 N Monroe St, Suite 200, Spokane, WA 99201-2104 | 2013-07-01 |
| 1518298058 | Jessica Wagner | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2010-01-22 |
| Street Address |
1296 JEFFCO BLVD |
| City | ARNOLD |
| State | MO |
| Zip Code | 63010-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467654293 | Elizabeth Chathaparampil Abraham | Personal Emergency Response Attendant | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2007-06-04 |
| 1477198596 | Darcee Bair Schmitt | Nurse Practitioner | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2019-11-13 |
| 1922574169 | Michelle Ohlsen | Nurse Practitioner | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2018-10-15 |
| 1801361076 | Michelle Hoelscher | Nurse Practitioner | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2018-10-03 |
| 1023542602 | Gayle Ostermiller | Nurse Practitioner | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2017-04-20 |
| 1710427547 | Cheryl Viau | Nurse Practitioner | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2017-02-27 |
| 1093252777 | Jillian Nicole Ethridge-brown | Registered Nurse | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2017-01-19 |
| 1306206347 | Ssm Health | Clinic/Center | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2016-03-03 |
| 1033578117 | Cynthia Visintine | Nurse Practitioner | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2016-02-17 |
| 1487012845 | Ssm Health | General Acute Care Hospital | 1296 Jeffco Blvd, Arnold, MO 63010-2138 | 2016-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952962474 | Kayla Davelle Thompson | Occupational Therapist | 4 Arnold Park Mall, Arnold, MO 63010 | 2019-06-25 |
| 1750884466 | Casey Brooks | Chiropractor | 28 Fox Valley Ctr, Arnold, MO 63010 | 2018-03-09 |
| 1831628247 | Lice Clinics of America | Technician, Other | 39 Fox Valley, Arnold, MO 63010 | 2017-06-08 |
| 1235668633 | Lauren Mareschal | Occupational Therapist | 4 Arnold Park, Arnold, MO 63010 | 2017-06-08 |
| 1851760292 | Valerie Tribl | Registered Nurse | 3937 Vogel Road, Walgreens Healthcare Clinic, Arnold, MO 63010 | 2015-09-16 |
| 1942615265 | Rachel Kyllo | Dermatology | 3783 Vogel Rd, Arnold, MO 63010 | 2014-06-25 |
| 1538584669 | Alex Sharifian Dds Water Tower Dental Group PC | Dentist | 2231 Michigan Avenue, Arnold, MO 63010 | 2014-02-26 |
| 1669897815 | Diana E Toler | Chiropractor | 2190 Tenbrook Rd, Arnold, MO 63010 | 2014-02-25 |
| 1902163280 | Sheila Kay Schaefer | Physical Therapist | 3488 Jeffco Blvd., Suite 102, Arnold, MO 63010 | 2012-04-11 |
| 1639400179 | Arnold Physical Therapy & Sports Medicine LLC | Clinic/Center | #160 Richardson Crossing, Arnold, MO 63010 | 2010-01-22 |
| Find all providers in zip 63010 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780237966 | Kaitlyn Marie Govatos | Physician Assistant | 1509 Ritchie Hwy, Arnold, MD 21012-2742 | 2019-07-17 |
| 1558790105 | Kimberly Lynn Morin | Physician Assistant | 1509 Ritchie Hwy, Arnold, MD 21012-2742 | 2013-11-04 |
| 1598099806 | Marissa P Taylor | Physician Assistant | 3619 Richardson Square Dr, Arnold, MO 63010-6022 | 2009-09-21 |
| 1598842585 | Richard Donnell | Physician Assistant | 3619 Richardson Square Dr, Arnold, MO 63010-6022 | 2006-11-01 |
| 1851403166 | Elizabeth Posoli | Physician Assistant | 269 Peninsula Farm Rd, Suite F, Arnold, MD 21012-1013 | 2006-08-31 |
| 1336131200 | Jennifer M. Rocca-sexton | Physician Assistant | 1509 Ritchie Hwy, Arnold, MD 21012-2742 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779341 | Andrew Hecht | Physician Assistant | 13131 Tesson Ferry Rd Ste 105, Saint Louis, MO 63128-3887 | 2020-10-30 |
| 1396352860 | Alexis Lindsey | Physician Assistant | 5629 Bischoff Ave, Saint Louis, MO 63110-2929 | 2020-09-28 |
| 1194334094 | Olivia Faeth Langley | Physician Assistant | 507 Kenilworth Ln, Ballwin, MO 63011-2433 | 2020-07-27 |
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1942824339 | Jett Elena Mcguire | Physician Assistant | 2200 Locust St Apt 506, Saint Louis, MO 63103-1532 | 2020-06-02 |
| 1356965602 | Katherine Anne Hill | Physician Assistant | 3619 Whispering Ridge Ln, Saint Louis, MO 63129-2247 | 2020-06-02 |
| 1922629559 | Tiffany Nuno | Physician Assistant | 621 Tipton St, Sullivan, MO 63080-2152 | 2020-05-06 |
| 1477174944 | Sarah Christenson | Physician Assistant | 4515 Walnut St Apt 221d, Kansas City, MO 64111-7731 | 2020-05-06 |
| 1326669516 | Kayla Bergmann | Physician Assistant | 58 W Glendale Rd, Saint Louis, MO 63119-4054 | 2020-04-29 |
| 1962023341 | Kaitlin Nicole Sutten | Physician Assistant | 6711 Nw Evelyn St, Kansas City, MO 64151-2115 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
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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.