Salem Michelle Wagner, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

13-83024-122 Issued in KS

Practice address

1124 W 21St St
Andover, KS 67002-5500

Phone

(785) 392-7620

Fax

(316) 300-4040

NPI assigned

Feb 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197

Merit-based Incentive Payment System (MIPS)

Final score

79.33 of 100Reported as group

Quality

59.78

Promoting interoperability

97

Improvement activities

40

Cost

73.83

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: salem.cairns@directsbamh.org

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.

• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Medicare reassignment Care Compare group NPD
• Advanced Practice Associates LLC

  • Certified Registered Nurse Anesthetist
  • El Dorado, KS
  • NPI 1801499553

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Kansas Medical Center, LLC

  dba KMC Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Andover, KS
  • NPI 1801007786
  NPD
• Kansas Medical Center, LLC

  dba Andover Anesthesia Care Specialists

  • Anesthesiology Physician
  • Andover, KS
  • NPI 1952512832
  NPD
• Kansas Medical Center, LLC

  dba Andover Cardiology

  • Cardiovascular Disease Physician
  • Andover, KS
  • NPI 1952585341
  NPD
• Anesthesia Associates of Central Kansas, P.a.

  • Anesthesiology Physician
  • Salina, KS
  • NPI 1164494084
  NPD (past)

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

• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Care Compare affiliation

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1881968535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025500",
            "telephone_number": "785-392-7620",
            "fax_number": "316-300-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W 21ST ST",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670025500",
            "telephone_number": "785-392-7620",
            "fax_number": "316-300-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SALEM",
        "middle_name": "MICHELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "13-83024-122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Larae Vancil, APRN
• Rachel Viner, DC
• Reesa Volgamore, PTA
• John Vonagher, LMSW-T
• Megan Waggoner, LMSW-T
• Walgreen Co (Walgreens #05840)
• Walgreens
• Erika E Walker, LSCSW
• Brandy Lynn Wallace, COTA
• Richard Lee Watson Jr., MD

• Certified Registered Nurse Anesthetist in Andover, KS
• Providers in Andover, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.