Shannon Wagner
NPI 1255188389 · Physician Assistant · Arden Hills, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Wagner is a Physician Assistant provider in Arden Hills, MN (NPI 1255188389).
Provider details
- NPI number
- 1255188389
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
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
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
- 2024-05-06
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Frequently asked questions
- What is Shannon Wagner's NPI number?
- Shannon Wagner's National Provider Identifier (NPI) is 1255188389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Wagner's specialty?
- Shannon Wagner is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Wagner located?
- Shannon Wagner's practice location on file with NPPES is 2 Pine Tree Dr, Arden Hills, MN 55112-3754.
- What is Shannon Wagner's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wagner is (651) 635-8000.
- Does Shannon Wagner accept Medicare?
- Shannon Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Wagner's NPI active?
- Yes — Shannon Wagner's NPI (1255188389) is active in the NPPES registry as of the last update on 2024-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.