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

Jessee Davis Wagner

Individual provider Registered Nurse · NPI 1912441692

Jessee Davis Wagner is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, South Carolina. Qualified in 2017, 9 years ago. Practices with Medical University Hospital Authority, a 220-clinician group and accepts Medicare assignment. Licensed in North Carolina, South Carolina and Virginia.

Years since qualifying
9
Licensed in
NC, SC, VA
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-5812
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 22113 (SC)
Registered Nurse Taxonomy 163W00000X · Licence 292165 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 0001253285 (VA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 112751 (NC)

Record details

NPI number1912441692
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2016
Last updated in NPPESNovember 12, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medical University Hospital Authority — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charleston