Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michele E Wagner, PA-C

Individual provider Physician Assistant · NPI 1396103032

Michele E Wagner, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2015, 11 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
11
Licensed in
NY, WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3927 Rucker Ave
Everett, WA 98201-4833
Phone: (425) 339-5447
Fax: (425) 259-1185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MW5580281 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 019459 (NY)

Record details

NPI number1396103032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2016
Last updated in NPPESMay 3, 2026
Certification dateMay 3, 2026
Mailing address7600 Evergreen Way, Everett, WA 98203-6421

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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