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

Individual provider Registered Nurse · NPI 1114537693

Ryan Austin Wagner, RN is a Certified Registered Nurse Anesthetist (CRNA) in Greenville, North Carolina. Qualified in 2021, 5 years ago. Practices with East Carolina Anesthesia Associates PLLC, a 680-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone: (252) 752-2140
Fax: (252) 689-6502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 Academy St S, Ahoskie, NC 27910-3248 — (252) 209-8483
  • 211 Virginia Rd, Edenton, NC 27932-9668 — (252) 482-8451

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 6648 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 293017 (NC)

Record details

NPI number1114537693
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 9, 2020
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice East Carolina Anesthesia Associates Pllc — 680 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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