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

Mrs. Kristine Lee Wagner, PA-C

Individual provider Surgical Physician Assistant · NPI 1871656462

Mrs. Kristine Lee Wagner, PA-C is a Physician Assistant in Naples, Florida. Qualified in 2001, 25 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Colorado, Florida and Illinois.

Years since qualifying
25
Licensed in
CO, FL, IL
In the registry since
2006
Specialties on file
4
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

311 9th St N Ste 101
Naples, FL 34102-5886
Phone: (954) 298-6142
Show map & directions

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

Additional practice locations (3)

  • 1400 E Boulder St Ste 700, Colorado Springs, CO 80909-5533 — (719) 364-3278
  • 217 Hillcrest St, Orlando, FL 32801-1211 — (407) 425-1566
  • 8251 W Broward Blvd, Plantation, FL 33324-2703 — (954) 475-9535

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009524 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9101686 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA.000845 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA9101686 (FL)

Record details

NPI number1871656462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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