Amanda Wagner
NPI 1164058020 · Certified Registered Nurse Anesthetist · Rolla, MO
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Wagner is a Certified Registered Nurse Anesthetist provider in Rolla, MO (NPI 1164058020).
Provider details
- NPI number
- 1164058020
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN9407106 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 5645 Main StFlushing, NY 11355-5045Phone: (718) 670-2000
Registry dates
- Enumerated
- 2020-03-22
- Last updated
- 2024-09-11
- Certified
- 2024-09-11
Frequently asked questions
- What is Amanda Wagner's NPI number?
- Amanda Wagner's National Provider Identifier (NPI) is 1164058020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Wagner's specialty?
- Amanda Wagner is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amanda Wagner located?
- Amanda Wagner's practice location on file with NPPES is 1000 W 10th St, Rolla, MO 65401.
- What is Amanda Wagner's phone number?
- The practice phone number listed in the NPPES registry for Amanda Wagner is (573) 458-8899.
- Does Amanda Wagner accept Medicare?
- Amanda Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Wagner's NPI active?
- Yes — Amanda Wagner's NPI (1164058020) is active in the NPPES registry as of the last update on 2024-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.