Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda C Wagner

Individual provider Certified Registered Nurse Anesthetist · NPI 1164058020

Amanda C Wagner is a Certified Registered Nurse Anesthetist (CRNA) in Rolla, Missouri. Qualified in 2023, 3 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Missouri and New York.

Years since qualifying
3
Licensed in
FL, MO, NY
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

1000 W 10th St
Rolla, MO 65401
Phone: (573) 458-8899
Fax: (573) 341-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5645 Main St, Flushing, NY 11355-5045 — (718) 670-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2024020234 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN9407106 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 786638 (NY)

Record details

NPI number1164058020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2020
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rolla