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

Mrs. Kavitha Wagner, CRNP

Individual provider Nurse Practitioner · NPI 1043614597

Mrs. Kavitha Wagner, CRNP is a Nurse Practitioner in York, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Good Samaritan Physician Services, a 106-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

1001 S George St
York, PA 17403-3676
Phone: (717) 851-3467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 605 S George St Ste 200, York, PA 17401-3161 — (717) 851-3467
  • 25 Monument Rd, York, PA 17403-5060 — (717) 851-3467

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP014314 (PA)

Record details

NPI number1043614597
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 13, 2014
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Good Samaritan Physician Services — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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