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

Michaela Renee Wagner, DO

Individual provider Pediatrics Physician · NPI 1174264865

Michaela Renee Wagner, DO is a Pediatric Medicine in Lewistown, Pennsylvania. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

21 Geisinger Ln
Lewistown, PA 17044-3400
Phone: (717) 242-4200
Fax: (717) 242-4237
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS024507 (PA)

Record details

NPI number1174264865
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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