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

Individual provider Physician Assistant · NPI 1619304904

Courtney Anne Wagner, PA-C is a Physician Assistant in East Greenwich, Rhode Island. Qualified in 2013, 13 years ago. Practices with Orthopedics Rhode Island Inc, a 124-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
13
Licensed in
RI
In the registry since
2013
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

1598 S County Trl Ste 100
East Greenwich, RI 02818
Phone: (401) 402-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00835 (RI)

Record details

NPI number1619304904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2013
Last updated in NPPESAugust 6, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Orthopedics Rhode Island Inc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in East Greenwich