Rita R Wagner, BSN, MS, RN, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

F001398-1 Issued in NY

Practice address

200 West Arbor Drive
MC 8612
San Diego, CA 92103-8612

Phone

(619) 543-5350

Fax

(619) 473-3014

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Nurse Midwife, Master of Science, Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: rwagner678298@hisp.ehr.sutterhealth.org

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.

• Sutter Bay Medical Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment
• Sutter Community Health

  • Clinic/Center
  • Oakland, CA
  • NPI 1811021405
  Medicare reassignment

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1184787962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 55TH ST",
            "address_2": "3H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195151",
            "telephone_number": "209-480-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ARBOR DRIVE",
            "address_2": "MC 8612",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038612",
            "telephone_number": "619-543-5350",
            "fax_number": "619-473-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RITA",
        "middle_name": "R",
        "credential": "BSN, MS, RN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "CNMW1654",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001398-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Elizabeth Wagner, MS
• Nathan Eli Wagner, IDC
• Paul D Wagner, M.D., F.A.C.P.
• Rachel Wagner
• Riley Wagner
• Rory Lynn Wagner, MD
• Sarah E Wagner
• Shawn M. Wagstaff, PA-C
• Rachel Waguespack, OTR/L
• Angey Wahba

• Midwife in San Diego, CA
• Providers in San Diego, CA by specialty
• Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.