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

Mrs. Ashley C Wagner, PA

Individual provider Medical Physician Assistant · NPI 1205078706

Mrs. Ashley C Wagner, PA is a Physician Assistant in Crestview, Florida. Graduated from University of Alabama School of Medicine in 2008, 18 years ago. Practices with Emerald Coast Dermatology and Skin Surgery Center P A, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
18
Trained at
University of Alabama School of Medicine
Licensed in
FL
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

350 Redstone Ave W
Crestview, FL 32536-6433
Phone: (850) 689-1740
Fax: (850) 682-6652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9105434 (FL)

Record details

NPI number1205078706
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 30, 2009
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Emerald Coast Dermatology And Skin Surgery Center P A — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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