Amanda C Wagner, - Medicare Certified Registered Nurse Anesthetist (crna) in Rolla, MO

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Amanda C Wagner, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rolla, Missouri. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Medstream Anesthesia Hawaii Llc and her current practice location is 1000 W 10th St, Rolla, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 458-8899.

Amanda C Wagner is licensed to practice in Missouri (license number 2024020234) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164058020.

Contact Information

Amanda C Wagner,
1000 W 10th St,
Rolla, MO 65401
(573) 458-8899
(573) 341-5611

Map and Direction




Provider's Profile

Full NameAmanda C Wagner
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location1000 W 10th St, Rolla, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda C Wagner graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1164058020
  • Provider Enumeration Date: 03/22/2020
  • Last Update Date: 09/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648696450
  • Enrollment ID: I20211022001962

Medical Identifiers

Medical identifiers for Amanda C Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164058020NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN9407106 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 786638 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered 2024020234 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kona Community HospitalKealakekua, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstream Anesthesia Hawaii Llc600212059920

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda C Wagner allows following entities to bill medicare on her behalf.
Entity NamePacific Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538472451
PECOS PAC ID: 1951596329
Enrollment ID: O20101110001400
Entity NamePec Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528305208
PECOS PAC ID: 3870748023
Enrollment ID: O20130220000025
Entity NameMedstream Anesthesia Hawaii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346621190
PECOS PAC ID: 6002120599
Enrollment ID: O20150728004957

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda C Wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda C Wagner,
1050 W 10th St,
Rolla, MO 65401-2905

Ph: (573) 458-8899		Amanda C Wagner,
1000 W 10th St,
Rolla, MO 65401

Ph: (573) 458-8899

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Rolla, MO

Mr. William J. Jones, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1605 Martin Springs Dr, Rolla, MO 65401
Phone: 417-533-6010    Fax: 417-533-6173
Blaine Goodman,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    
Charles Boone, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    
Mr. Martin E Rivera, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    
Collin Dobson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    
Jason Anthony Corey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 W 10th St, Rolla, MO 65401
Phone: 573-458-8899    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.