Susan Wagner, PA-C
NPI 1588775357 · Medical Physician Assistant · Beaverton, OR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Wagner, PA-C is a Medical Physician Assistant provider in Beaverton, OR (NPI 1588775357).
Provider details
- NPI number
- 1588775357
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA00685 (OR)
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
19 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
- 2006-08-31
- Last updated
- 2007-07-11
Frequently asked questions
- What is Susan Wagner's NPI number?
- Susan Wagner's National Provider Identifier (NPI) is 1588775357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Wagner's specialty?
- Susan Wagner is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Susan Wagner located?
- Susan Wagner's practice location on file with NPPES is 4855 Sw Western Ave, Beaverton, OR 97005-3460.
- What is Susan Wagner's phone number?
- The practice phone number listed in the NPPES registry for Susan Wagner is (503) 643-7565.
- Does Susan Wagner accept Medicare?
- Susan Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Wagner's NPI active?
- Yes — Susan Wagner's NPI (1588775357) is active in the NPPES registry as of the last update on 2007-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.