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

Angela D Wagner, PA-C

Individual provider Medical Physician Assistant · NPI 1073531711

Angela D Wagner, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2005, 21 years ago. Practices with Center for Pain Medicine PA, a 5-clinician group and offers telehealth. Licensed in North Dakota.

Years since qualifying
21
Licensed in
ND
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

700 1st Ave S
Fargo, ND 58103-1802
Phone: (701) 234-4023
Fax: (701) 234-4050
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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 PAC0344 (ND)

Record details

NPI number1073531711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Center For Pain Medicine Pa — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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