MRS. ASHLEY C WAGNER (PA) – Medical Physician Assistant, NPI 1205078706
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MRS. ASHLEY C WAGNER (PA)
West Redstone Avenue, Crestview, Okaloosa County, Florida, 32536, United States
CRESTVIEW, FL 325366433
Phone: (850) 689-1740
Fax: (850) 682-6652
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 115 Open Payments records for all available years, with a total value of $2,171.
Total Amount is formed as General ($2,171) + Research ($0) + Ownership ($0) = $2,171.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($511).
Total Amount
$2,171
General + Research + Ownership
Payments
115
Total payment records
General Amount
$2,171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $511 |
| Janssen Biotech, Inc. | $434 |
| Regeneron Healthcare Solutions, Inc. | $226 |
| Sun Pharmaceutical Industries Inc. | $178 |
| E.R. Squibb & Sons, L.L.C. | $166 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100809001055 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,222 | 219 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 973 | 694 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 398 | 301 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 239 | 207 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 188 | 161 | $0 |
Insurance plans in this area (ZIP 32536)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | FL | 17003 | Destruction of 2-14 skin growths | 1854 | 352 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL |
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