Stephanie Wagner
NPI 1104291574 · Speech-Language Pathologist · Fairport, NY
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephanie Wagner is a Speech-Language Pathologist provider in Fairport, NY (NPI 1104291574).
Provider details
- NPI number
- 1104291574
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0217691 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-09
- Last updated
- 2015-12-09
Frequently asked questions
- What is Stephanie Wagner's NPI number?
- Stephanie Wagner's National Provider Identifier (NPI) is 1104291574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephanie Wagner's specialty?
- Stephanie Wagner is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Stephanie Wagner located?
- Stephanie Wagner's practice location on file with NPPES is 1387 Fairport Rd, Fairport, NY 14450-2003.
- What is Stephanie Wagner's phone number?
- The practice phone number listed in the NPPES registry for Stephanie Wagner is (585) 641-0304.
- Does Stephanie Wagner accept Medicare?
- Stephanie Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephanie Wagner's NPI active?
- Yes — Stephanie Wagner's NPI (1104291574) is active in the NPPES registry as of the last update on 2015-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.