Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Audrey Wagaman, PA-C

Individual provider Medical Physician Assistant · NPI 1073991501

Audrey Wagaman, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2014, 12 years ago. Practices with Innovative Hematology Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2015
Specialties on file
2
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

8326 Naab Rd
Indianapolis, IN 46260-1920
Phone: (317) 871-0000
Fax: (317) 871-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X (IN)

Record details

NPI number1073991501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2015
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Innovative Hematology Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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