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

Amy Nicole Wagner, PA

Individual provider Medical Physician Assistant · NPI 1326085507

Amy Nicole Wagner, PA is a Physician Assistant in Madison, Wisconsin. Qualified in 2003, 23 years ago. Practices with Group Health Cooperative of South Central Wisconsin, a 234-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
23
Licensed in
WI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

675 W Washington Ave
Madison, WI 53703-2637
Phone: (608) 257-9700
Fax: (608) 250-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1704-023 (WI)

Record details

NPI number1326085507
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESApril 13, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Group Health Cooperative Of South Central Wisconsin — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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