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

Amanda Marie Wagner, FNP

Individual provider Family Nurse Practitioner · NPI 1447841879

Amanda Marie Wagner, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

8670 Big Bend Blvd Ste A
Saint Louis, MO 63119-3839
Phone: (314) 447-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1015 Bowles Ave, Fenton, MO 63026-2394 — (636) 208-3807
  • 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 — (636) 496-5030

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2021002285 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2021002285 (MO)

Record details

NPI number1447841879
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 28, 2021
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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