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

Kristin Wagner, PA

Individual provider Physician Assistant · NPI 1952743924

Kristin Wagner, PA is a Physician Assistant in Melbourne, Florida. Qualified in 2011, 15 years ago. Practices with Florida Kidney Physicians LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2200 W Eau Gallie Blvd Ste 202C
Melbourne, FL 32935-3166
Phone: (321) 728-2722
Fax: (321) 435-3652
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9106405 (FL)

Record details

NPI number1952743924
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 19, 2013
Last updated in NPPESJune 26, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Florida Kidney Physicians Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Melbourne