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

Matthew Wagner

Individual provider Family Nurse Practitioner · NPI 1053785840

Matthew Wagner is a Nurse Practitioner in Wabasha, Minnesota. Graduated from Georgetown University School of Medicine in 2015, 11 years ago. Practices with Saint Elizabeths Hospital of Wabasha Inc, a 92-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Trained at
Georgetown University School of Medicine
Licensed in
MN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1200 Grant Blvd W
Wabasha, MN 55981
Phone: (651) 565-5600
Show map & directions

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

Additional practice locations (1)

  • 210 9th St Se, Rochester, MN 55904-6756 — (507) 288-3443

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CNP 4307 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R 170201-9 (MN)

Record details

NPI number1053785840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 17, 2015
Last updated in NPPESNovember 14, 2018
Mailing address1200 Grant Blvd W, Wabasha, MN 55981-1042

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Saint Elizabeths Hospital Of Wabasha Inc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wabasha