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

Taylor Alexis Wagner, PA-C

Individual provider Medical Physician Assistant · NPI 1497572671

Taylor Alexis Wagner, PA-C is a Physician Assistant in Corry, Pennsylvania. Qualified in 2024, 2 years ago. Practices with St Vincent Medical Education and Research Institute Inc, a 299-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
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

315 York St
Corry, PA 16407-1412
Phone: (814) 664-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3413 Cherry St, Erie, PA 16508-2678 — (814) 868-9828

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA065975 (PA)

Record details

NPI number1497572671
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2024
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Vincent Medical Education And Research Institute Inc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Corry