Anna Michelle Wagner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008124 Issued in CO

Practice address

1411 S Potomac St Ste 210
Aurora, CO 80012-4538

Phone

(303) 695-6106

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anna Michelle Clauson Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heartlight Family Clinic LLCGroup PAC ID 5597046219, 15 clinicians

Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: annawagner@fu.allscriptsdirect.net

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.

• Advanced Urology, PLLC

  • Urology Physician
  • Lone Tree, CO
  • NPI 1962501551
  Medicare reassignment Care Compare group NPD
• Heartlight Family Clinic, LLC

  • Primary Care Clinic/Center
  • Castle Rock, CO
  • NPI 1639529738
  Medicare reassignment Care Compare group NPD
• Redwood Medical LLC

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1861256091
  Medicare reassignment
• Foothills Urology, PC

  • Urology Physician
  • Golden, CO
  • NPI 1780617795
  NPD
• Redwood Medical LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1992689178
  NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1235869587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S POTOMAC ST STE 210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124538",
            "telephone_number": "303-695-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANNA",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "CLAUSON",
            "middle_name": "MICHELLE",
            "credential": "PA-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William J Waggener, M.D.
• Samantha Louise Waggett
• Brooke Waggoner, RBT
• Mary Elizabeth Waggoner, PMHNP-BC, APRN
• Mihir S Wagh, MD
• Carlie Wagner
• Jeffrey Ryan Wagner, MD
• Jennifer Wagner, R.N.
• Kaitlin Wagner, LPC
• Katharine Lyle Holmes Wagner, CPNP

• Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.