Individual provider Active NPI

Kaitlin Wagner, PA-C

  • Vascular Surgery Physician
  • Washington, PA
National Provider Identifier
1104797844
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MA067008 Issued in PA
Practice address
125 N Franklin Dr Ste 1
Washington, PA 15301-5892
Phone
(412) 802-3333
NPI assigned
Sep 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MA067008 PA Primary

Addresses

Primary practice location

125 N Franklin Dr Ste 1
Washington, PA 15301-5892

Mailing address

125 N Franklin Dr Ste 1
Washington, PA 15301-5892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223004643 PA Practitioner - Physician Assistant 3072008341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

120 Lytton Ave
Pittsburgh, PA 15213-1435
Phone (412) 802-3000

120 Lytton Ave
Suite M060
Pittsburgh, PA 15213-1481
Phone (412) 692-6677

200 Lothrop St
Pittsburgh, PA 15213-2536

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

200 Lothrop St
Pittsburgh, PA 15213-2582
Phone (412) 647-2808

200 Meyran Ave
Pittsburgh, PA 15213-3305
Phone (412) 246-6969

203 Lothrop St
Pittsburgh, PA 15213-2548
Phone (412) 647-6461

203 Lothrop St
7TH Floor
Pittsburgh, PA 15213-2588
Phone (412) 647-2200

300 Halket St
Pittsburgh, PA 15213-3108

300 Halket St
Suite 5200
Pittsburgh, PA 15213-3180
Phone (412) 641-7850

3380 Blvd of the Allies
Suite 1
Pittsburgh, PA 15213-3125
Phone (412) 621-7575

3420 5TH Ave
Pittsburgh, PA 15213-3205
Phone (412) 692-6000

3459 5TH Ave
Pittsburgh, PA 15213-3236
Phone (412) 648-6161

3471 5TH Ave
Pittsburgh, PA 15213-3200
Phone (412) 687-3900

3471 5TH Ave
Pittsburgh, PA 15213-3215
Phone (412) 232-7853

3471 5TH Ave
Suite 102
Pittsburgh, PA 15213-3216
Phone (412) 647-9824

3471 5TH Ave
Suite 1103
Pittsburgh, PA 15213-3232
Phone (412) 648-6848

3471 5TH Ave
Suite 810
Pittsburgh, PA 15213-3206
Phone (412) 692-4920

3500 5TH Ave
Suite 4
Pittsburgh, PA 15213-3337
Phone (412) 682-2434

3501 Forbes Ave
Pittsburgh, PA 15213-3317
Phone (412) 246-6606

3601 5TH Ave
Pittsburgh, PA 15213-3403

3601 5TH Ave
Suite 5a
Pittsburgh, PA 15213-3442
Phone (412) 648-3263

3616 Forbes Ave
Pittsburgh, PA 15213-3407
Phone (412) 647-7488

3636 Blvd of the Allies
Pittsburgh, PA 15213-4306
Phone (412) 209-7483

3708 5TH Ave
Suite 50011
Pittsburgh, PA 15213-3427
Phone (412) 864-3860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA067008PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Nov 17, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Nov 17, 2025 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1104797844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR STE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N FRANKLIN DR STE 1",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015892",
            "telephone_number": "412-802-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KAITLIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MA067008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.