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

Carson Lee Wagner

Individual provider Physician Assistant · NPI 1063060796

Carson Lee Wagner is a Physician Assistant in Oviedo, Florida. Qualified in 2019, 7 years ago. Practices with Hospital Medicine Services of Fl, LLC, a 503-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019

Practice location Address checks out

1071 Calla Lily Cv
Oviedo, FL 32766-0003
Phone: (407) 409-1616
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112577 (FL)

Record details

NPI number1063060796
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESOctober 20, 2019
Mailing address1071 Calla Lily Cv, Oviedo, FL 32766-0003

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hospital Medicine Services Of Fl, Llc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oviedo