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

MS. Ellen A Wagner, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1568408789

MS. Ellen A Wagner, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Southampton, New York. Qualified in 1981, 45 years ago. Accepts Medicare assignment. Licensed in New York and Rhode Island.

Years since qualifying
45
Licensed in
NY, RI
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

265 Herrick Rd
Southampton, NY 11968
Phone: (631) 726-8350
Fax: (631) 726-8519
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 APRN03496 (RI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3472891 (NY)

Record details

NPI number1568408789
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJuly 21, 2023
Certification dateJuly 21, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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