Active NPI
Amanda Marie Wagner, M.D.
- Hospitalist Physician
- Reno, NV
National Provider Identifier
1972007441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 21101
- Practice address
- 235 W 6TH St
Reno, NV 89503-4548 - Phone
- (775) 770-7348
- Fax
- (775) 770-3944
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 21101 | NV | Primary |
| Family Medicine Physician | 207Q00000X | 21101 | NV |
Addresses
Primary practice location
235 W 6TH St
Reno, NV 89503-4548
Mailing address
PO Box 1600
Carson City, NV 89702-1600
Other practice location 1
1664 N Virginia St
Reno, NV 89557-0001
Phone (775) 682-8648
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awagner2@phsi.us | Direct | Saint Mary's Regional Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Mary'S Medical Group Inc | Current | Accepting new patients | |
| Saint Marys Urgent Care LLC | Current | Accepting new patients | |
| Saint Marys Medical Group Inc. | Hospitalist | Current | Accepting new patients |
| Jose a Aguirre MD PC Silver State | Hospitalist | Current | Accepting new patients |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#1461
Pasadena, CA 91199
1801 W Olympic Blvd
Pasadena, CA 91199
411 W 6th St
Reno, NV 89503
Phone (775) 770-3209
18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201
235 W 6th St
Reno, NV 89503
Phone (775) 746-3202
Interoperability endpoints
- amanda.wagner.p1@direct.smmg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Reno, NV
- NPI 1427775592
-
- Community/Retail Pharmacy
- Reno, NV
- NPI 1447635578
-
- Multi-Specialty Clinic/Center
- Reno, NV
- NPI 1275898975
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718496000000",
"number": "1972007441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1600",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897021600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W 6TH ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034548",
"telephone_number": "775-770-7348",
"fax_number": "775-770-3944"
}
],
"practiceLocations": [
{
"address_1": "1664 N Virginia St",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895570001",
"country_code": "US",
"telephone_number": "775-682-8648",
"fax_number": "775-682-8610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGNER",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-20",
"last_updated": "2024-06-16",
"certification_date": "2024-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "21101",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "21101",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awagner2@phsi.us",
"affiliation": "Y",
"affiliationName": "Saint Mary's Regional Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "235 W 6th St",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895034548",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; 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.