Annette Veronica Wagner, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD440690 Issued in PA

Practice address

1155 East MTN Blvd
Wilkes Barre, PA 18702-7906

Phone

(570) 808-7916

Fax

(570) 808-6006

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NY, OR, GA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awagner53824@direct.conemaugh.org
• Direct secure messaging: awagner1039203@upmc.direct-ci.com
• Direct secure messaging: annette.wagner.1@28732.direct.athenahealth.com
• Direct secure messaging: annette.wagner@direct-address.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.

• OB-GYN Associates of Erie, PC

  • Obstetrics & Gynecology Physician
  • Erie, PA
  • NPI 1497702294

  PA

  Medicare reassignment Care Compare group
• Butler Medical Providers

  • Gastroenterology Physician
  • Butler, PA
  • NPI 1619493046

  PA

  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905

  PA

  Medicare reassignment NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868

  PA

  Medicare reassignment NPD
• Indiana Healthcare Physician Services Inc

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1578523429

  Obstetrics & Gynecology, PA

  Medicare reassignment NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152

  NY, Obstetrics & Gynecology

  Medicare reassignment NPD
• Obhg Pennsylvania PC

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1184124109

  Obstetrics & Gynecology, PA

  Medicare reassignment NPD
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508

  Obstetrics & Gynecology, PA

  Medicare reassignment NPD
• Mid-Valley Healthcare Inc

  • Critical Access Hospital
  • Lebanon, OR
  • NPI 1689625980

  OR

  Medicare reassignment
• Northside Womens Group LLC

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
  • NPI 1275380701

  GA

  Medicare reassignment
• Butler Medical Providers

  • Rural Health Clinic/Center
  • Fairmount City, PA
  • NPI 1386253854
  NPD
• Butler Medical Providers

  • Cardiovascular Disease Physician
  • New Castle, PA
  • NPI 1821534488
  NPD

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

• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042

  Hospital

  Care Compare affiliation

Specialty

Obstetrics/Gynecology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

OB-GYN Associates of Erie, PC 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Procedures performed for Medicare patients

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1699718031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-808-7916",
            "fax_number": "570-808-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 EAST MTN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027906",
            "telephone_number": "570-808-7916",
            "fax_number": "570-808-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552875",
            "country_code": "US",
            "telephone_number": "541-451-6282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Northside Cherokee Blvd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301158015",
            "country_code": "US",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Hospital Rd Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013699",
            "country_code": "US",
            "telephone_number": "724-427-2797",
            "fax_number": "724-427-2715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANNETTE",
        "middle_name": "VERONICA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "44148",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "112588",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "238373",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD229433",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD440690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandhya Vunnam, M.D.
• Juliana Michelle Waclawski
• David A. Wadas, AU.D.
• James C Wade, MD
• Jamie Wade, PMHNP
• Ashley M Wagner, OD
• Christine Marie Wagner, RN
• Joseph Wagner
• Karen Wagner
• Alisha R Wainwright, PA-C

• All providers in Wilkes Barre, PA
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.