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

Gerhardt Stefan Wagner, MD

Individual provider Psychiatry Physician · NPI 1477716199

Gerhardt Stefan Wagner, MD is a Psychiatry in Saint Paul, Minnesota. Qualified in 2008, 18 years ago. Practices with Family Innovations Inc, a 93-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and New York.

Years since qualifying
18
Licensed in
MN, NY
In the registry since
2008
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

360 Sherman St Ste 390
Saint Paul, MN 55102-3865
Phone: (651) 383-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Linden Oaks Ste 200, Rochester, NY 14625-2831 — (585) 368-6700

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 80478 (MN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 268023 (NY)

Record details

NPI number1477716199
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Family Innovations Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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