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

Trent P Wagoner, CAA

Individual provider Anesthesiologist Assistant · NPI 1467058438

Trent P Wagoner, CAA is an Anesthesiology Assistant in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2020, 6 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone: (317) 274-0275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 — (314) 251-6000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75000077A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1467058438
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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