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

Madison Kate Wagner

Individual provider Physician Assistant · NPI 1578256103

Madison Kate Wagner is a Physician Assistant in Paducah, Kentucky. Qualified in 2023, 3 years ago. Practices with Paducah Dermatology PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2023

Practice location Address checks out

3101 Parisa Dr
Paducah, KY 42003-4584
Phone: (270) 444-8477
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (KY)

Record details

NPI number1578256103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address409 Castleton Pike, Paducah, KY 42003-1246

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Paducah Dermatology Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Paducah