Ms. Ellen A Wagner is a Southampton, New York based nurse anesthetist with 25 years of experience as Anesthesia Administration. She completed she graduation in 2000. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Ellen A Wagner is APRN03496 for Anesthesia Administration in Rhode Island. Her current practice location is 265 Herrick Road, Southampton. Patients can reach her at 631-726-8350 or can fax her at 631-726-8519. Ms. Ellen A Wagner is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1568408789. Ms. Ellen A Wagner is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Ms. Ellen A Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
265 Herrick Road, Southampton, New York, 11968
Phone:
631-726-8350
Fax:
631-726-8519
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2062406291
Enrollment ID:
I20040412000927
NPI Number:
1568408789
NPI Enumeration Date:
22 Jun, 2006
NPI Last Update On:
21 Jul, 2023
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Ellen A Wagner are as mentioned below.
License Number
Specialization
State
Status
APRN03496
Anesthesia Administration
Rhode Island
Primary
3472891
Anesthesia Administration
New York
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Peconic Bay Medical Center (330107)
Riverhead, NY
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ms. Ellen A Wagner has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
North Shore - Lij Anesthesiology, Pc (1153602453)
420
Suffolk Anesthesiology Associates Pc (6204725740)
36
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Ellen A Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00164249
Other
RR MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
455 Toll Gate Rd, Prc And Credentialing Warwick, Rhode Island
Zip:
02886
Phone Number:
401-273-0641
Fax Number:
401-273-2919
Patients can reach Ms. Ellen A Wagner at 265 Herrick Road, Southampton, New York or can call to book an appointment on 631-726-8350.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.