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

Ellen Africano Wagner, CRNA

Individual provider Registered Nurse · NPI 1679975411

Ellen Africano Wagner, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Flossmoor, Illinois. Qualified in 2014, 12 years ago. Practices with Lake Anesthesia Associates, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

19624 Governors Hwy
Flossmoor, IL 60422-2077
Phone: (708) 798-5838
Fax: (708) 798-5865
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209.012203 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041372498 (IL)

Record details

NPI number1679975411
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 24, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lake Anesthesia Associates — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flossmoor