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

Dr. Nicole Anne Stassen-Wagner, MD

Individual provider Trauma Surgery Physician · NPI 1417984519

Dr. Nicole Anne Stassen-Wagner, MD is a General Surgery in Rochester, New York. Graduated from Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc) in 1995, 31 years ago. Practices with Acute Care Trauma of the University of Rochester, a 15-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
31
Trained at
Rutgers R W Johnson Medical School (CAM/NEW Bruns/Pisc)
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave Box Surg
Rochester, NY 14642-8410
Phone: (585) 275-3376
Fax: (585) 276-1992
Show map & directions

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

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 230009 (NY)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 230009 (NY)

Record details

NPI number1417984519
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESJuly 5, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated 1995 (31 years in practice)
Group practice Acute Care Trauma Of The University Of Rochester — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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