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

Miss. Joelle Susan Wagner, PA

Individual provider Surgical Physician Assistant · NPI 1750858981

Miss. Joelle Susan Wagner, PA is a Physician Assistant in West Seneca, New York. Qualified in 2020, 6 years ago. Practices with Wny Rehabilitation Medicine and Pain Management LLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2018
Specialties on file
2
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 →

Practice location Address checks out

767 Main St
West Seneca, NY 14224
Phone: (716) 361-1624
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 025951-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750858981
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 25, 2018
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wny Rehabilitation Medicine And Pain Management Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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