Gary L. Wagner, CRNA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00094715 Issued in WA

Practice address

16010 E Indiana Ave
Spokane Valley, WA 99216-1813

Phone

(509) 928-8040

NPI assigned

Nov 29, 2006

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sight Partners Physicians PCGroup PAC ID 6002728532, 59 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.74 of 100Reported as group

Quality

88.73

Promoting interoperability

100

Improvement activities

40

Cost

77.08

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Sight Partners Physicians, P.C.

  dba Whatcom Eye Surgeons

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1376613075
  Medicare reassignment Care Compare group NPD
• Valley Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Renton, WA
  • NPI 1033165097
  Medicare reassignment NPD
• Anesthesia Associates of Coeur D Alene PLLC

  • Anesthesiology Physician
  • Coeur d'Alene, ID
  • NPI 1962440966

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• River City Anesthesia Associates, PLLC

  • Certified Registered Nurse Anesthetist
  • Post Falls, ID
  • NPI 1114908993

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sight Partners Physicians PC

  dba Empire Eye Physicians Colville

  • Multi-Specialty Clinic/Center
  • Colville, WA
  • NPI 1801781802
  NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Renton, WA
  • NPI 1487654331
  NPD
• Lois M Gelman MD Inc PS

  • Anesthesiology Physician
  • Renton, WA
  • NPI 1093823171
  NPD (past)
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Sequim, WA
  • NPI 1043212400
  NPD (past)
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1134121593
  NPD (past)
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Arlington, WA
  • NPI 1275533127
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1699842229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7058 N MADELLAINE DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157108",
            "telephone_number": "253-334-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 E INDIANA AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161813",
            "telephone_number": "509-928-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "GARY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00094715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0124415",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9610098",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "WA5338",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "100378",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wa Spok VH Crna LLC
• Wa-Spok VH Urgent Care LLC
• Shanay Elizabeth Wachtel, MSW, LICSW
• Maggie Wadsworth
• Emmalee Marian Wagley, DPT
• Kai Jonathan Wagner
• Mary K. Wagner, M.D.
• Joshua Wahl
• Wal-Mart Stores, Inc (Vision Center 30-2539)
• Charles Walden

• Registered Nurse in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.