MR. SCOTT BRIAN WAGNER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1679562516

MR. SCOTT BRIAN WAGNER (CRNA) is a healthcare provider. based in Corpus christi, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 655472 (TX). The NPI Number for MR. SCOTT BRIAN WAGNER (CRNA) is 1679562516

Main info

Male
30 Years Of Experience
Name
MR. SCOTT BRIAN WAGNER (CRNA)
NPI
1679562516
Phone
(361) 992-3361
Address
6043 ENNIS JOSLIN RD
Enumeration Date
13 October 2005
Last Update Date
23 September 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086745600
Graduation Year
1996 (30 years ago)
PAC ID
8022001684
Group Practice PAC ID
3870020399
Professional Enrollment ID
I20250313000097
Address ID
MA027211733FA795XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MR. SCOTT BRIAN WAGNER (CRNA)

  • 6043, Ennis Joslin Road, Corpus Christi, Nueces County, Texas, 78412, United States

    CORPUS CHRISTI, TX 784122805

    Phone: (361) 992-3361

    Fax: (361) 992-0487

    Type: Mailing

  • Elizabeth Street, Corpus Christi, Nueces County, Texas, 78404, United States

    SUITE 605

    CORPUS CHRISTI, TX 784042220

    Phone: (361) 883-6211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040407001447ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20210908000722ICertified Registered Nurse Anesthetist (Crna)METBD
I20250313000097ICertified Registered Nurse Anesthetist (Crna)MATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01922Anesthesia for x-ray or radiation therapy4747$0
View full utilization report →

Insurance plans in this area (ZIP 78412)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870020399View full group profile
NameSpecialtyState
Emergency MedicineHI
Emergency MedicineNY
P S Y C H I A T R YMA
Cardiovascular Disease (Cardiology)MA
Internal MedicineMA
Occupational Therapist In Private PracticeMA
P S Y C H I A T R YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
Internal MedicineMA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. SCOTT BRIAN WAGNER (CRNA)?
NPI 1679562516 is assigned to MR. SCOTT BRIAN WAGNER (CRNA) under the national enumeration system.
Does this profile mean MR. SCOTT BRIAN WAGNER (CRNA) is currently active?
Yes — MR. SCOTT BRIAN WAGNER (CRNA) appears active in the national provider directory.
What does MR. SCOTT BRIAN WAGNER (CRNA) treat or focus on?
Patients typically see MR. SCOTT BRIAN WAGNER (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MR. SCOTT BRIAN WAGNER (CRNA) practice in Texas?
You will see Corpus Christi, Texas on file for MR. SCOTT BRIAN WAGNER (CRNA) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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