Active NPI
Jeffrey S Wager, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3436
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-9138 - Phone
- (843) 792-1414
- NPI assigned
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3436 | SC | Primary |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-9138
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other practice location 1
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Medical University of South Carolina College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
Hospital & facility affiliations
- Bon Secours-St Francis Xavier Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical University Hospital Authority | Current | Accepting new patients | |
| Anesthesia Associates of Charleston, P.a. | Current | Accepting new patients | |
| Trident Anesthesia Group, LLC | Past | Accepting new patients | |
| Mobile Anesthesia, LLC | Past | Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441
1 Poston Rd
Ste 110
Charleston, SC 29407
Phone (843) 876-1347
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1396776670
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1871035956
Nurse Anesthetist, Certified Registered
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Children's Rehabilitation Hospital
- Charleston, SC
- NPI 1659101277
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1992943484
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1851577555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294259138",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [
{
"address_1": "2095 Henry Tecklenburg Dr",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145733",
"country_code": "US",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGER",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "3436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.