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

MS. Courtney Ann Wagner, PA-C

Individual provider Medical Physician Assistant · NPI 1073818878

MS. Courtney Ann Wagner, PA-C is a Medical Physician Assistant in Chesterfield, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
Specialties on file
2
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

16100 Chesterfield Pkwy W Ste 175
Chesterfield, MO 63017
Phone: (314) 735-0780
Fax: (314) 735-1625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2018002158 (MO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2018002158 (MO)

Record details

NPI number1073818878
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2011
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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