Individual provider Active NPI

Christian Todd Wagner, CRNA

  • Certified Registered Nurse Anesthetist
  • Natrona Heights, PA
National Provider Identifier
1326018235
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN512604L Issued in PA
Practice address
1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone
(724) 226-7010
Fax
(724) 226-7404
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN512604L PA Primary

Addresses

Primary practice location

1301 Carlisle St
Natrona Heights, PA 15065-1152

Mailing address

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7010

Other practice location 1

126 Julia Rd
Sarver, PA 16055-1606
Phone (724) 452-2177

Other identifiers 1

IdentifierTypeStateIssuer
101436263001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwagner20896@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000751 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355362112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

320 E N Ave
Pittsburgh, PA 15212-4756

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN512604LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Mar 5, 2012 Accepting new patients
Allegheny Clinic CurrentSince Mar 5, 2012 Accepting new patients
Allegheny Clinic Current Accepting new patients
Butler Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

Interoperability endpoints

  • Direct secure messaging: cwagner20896@direct.ahn.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1326018235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CARLISLE ST",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651152",
            "telephone_number": "724-226-7010",
            "fax_number": "724-226-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CARLISLE ST",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150651152",
            "telephone_number": "724-226-7010",
            "fax_number": "724-226-7404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Julia Rd",
            "address_purpose": "LOCATION",
            "city": "Sarver",
            "state": "PA",
            "postal_code": "160551606",
            "country_code": "US",
            "telephone_number": "724-452-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHRISTIAN",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN512604L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101436263001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwagner20896@direct.ahn.org",
            "affiliation": "N",
            "address_1": "1301 Carlisle St",
            "city": "Natrona Heights",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150651152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.