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
Mailing address1050 W 10th St, Rolla, MO 65401-2905

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