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

Mr. Scott Brian Wagner, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1679562516

Mr. Scott Brian Wagner, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fall River, Massachusetts. Qualified in 1996, 30 years ago. Practices with Lifespan Physician Group of Massachusetts Inc, a 457-clinician group. Licensed in Massachusetts and Texas.

Years since qualifying
30
Licensed in
MA, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

795 Middle St
Fall River, MA 02721-1798
Phone: (508) 674-5600
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN199950 (MA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 655472 (TX)

Record details

NPI number1679562516
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Lifespan Physician Group Of Massachusetts Inc — 457 clinicians
Accepts Medicare assignment Not indicated

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