Individual provider Active NPI

Kristina M Wagner, MD

  • Internal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1730128588
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD051034L Issued in PA
Practice address
775 S Arlington Ave
Harrisburg, PA 17109-5002
Phone
(717) 782-5905
Fax
(717) 782-5908
NPI assigned
Jun 6, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD051034L PA
Internal Medicine Physician 207R00000X MD051034L PA Primary

Addresses

Primary practice location

775 S Arlington Ave
Harrisburg, PA 17109-5002

Mailing address

775 S Arlington Ave
Harrisburg, PA 17109-5002
Phone (717) 782-5905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwagner306662@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000692 PA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 8628125044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Medical College of Pennsylvania, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Phone (717) 988-8090

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

4000 Linglestown Rd
Harrisburg, PA 17112-1017
Phone (717) 231-8508

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051034LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Mar 14, 1995 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 14, 1995 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients

Locations

2 Barlo Cir
Ste A
Dillsburg, PA 17019
Phone (717) 432-5430

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2645 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-4650

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

775 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 541-9240

805 Sir Thomas Ct
Ste 2
Harrisburg, PA 17109
Phone (717) 657-3030

Interoperability endpoints

  • Direct secure messaging: kwagner20641@gohealthupmc.direct-ci.com
  • Direct secure messaging: kwagner306662@upmc.direct-ci.com
  • Direct secure messaging: kwagner5915@phsdirect.pinnaclehealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1730128588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095002",
            "telephone_number": "717-782-5905",
            "fax_number": "717-782-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 S ARLINGTON AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095002",
            "telephone_number": "717-782-5905",
            "fax_number": "717-782-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-08-12",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD051034L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD051034L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwagner306662@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.