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

Carolyn M Wagner, RPA-C

Individual provider Surgical Physician Assistant · NPI 1679705941

Carolyn M Wagner, RPA-C is a Physician Assistant in Rochester, New York. Qualified in 2009, 17 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3001
Phone: (585) 922-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 401 S Main St, Canandaigua, NY 14424-2126 — (585) 412-6491
  • 875 Pre Emption Rd, Geneva, NY 14456-2042 — (315) 789-5061
  • 1200 Driving Park Ave, Newark, NY 14513-1090 — (315) 789-5061
  • 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 — (315) 359-2696

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 013447 (NY)

Record details

NPI number1679705941
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2009
Last updated in NPPESMay 11, 2021
Certification dateMay 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Rochester