Dr Nicole Anne Stassen-wagner, MD - Medicare General Surgery in Rochester, NY

Dr Nicole Anne Stassen-wagner, MD is a medicare enrolled "Surgery - Trauma Surgery" physician in Rochester, New York. She went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1995 and has 29 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Acute Care Trauma Of The University Of Rochester, Trauma Burn Emergency Surgery Of The University Of Rochester and her current practice location is 601 Elmwood Ave, Box Surg, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 275-3376.

Dr Nicole Anne Stassen-wagner is licensed to practice in New York (license number 230009) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417984519.

Contact Information

Dr Nicole Anne Stassen-wagner, MD
601 Elmwood Ave, Box Surg,
Rochester, NY 14642-8410
(585) 275-3376
(585) 276-1992

Map and Direction




Physician's Profile

Full NameDr Nicole Anne Stassen-wagner
GenderFemale
SpecialityGeneral Surgery
Experience29 Years
Location601 Elmwood Ave, Rochester, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Nicole Anne Stassen-wagner attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1995
  NPI Data:
  • NPI Number: 1417984519
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8224939467
  • Enrollment ID: I20040120000296

Medical Identifiers

Medical identifiers for Dr Nicole Anne Stassen-wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417984519NPI-NPPES
02497487MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0127XSurgery - Trauma Surgery 230009 (New York)Primary
2086S0102XSurgery - Surgical Critical Care 230009 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Strong Memorial HospitalRochester, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acute Care Trauma Of The University Of Rochester781028102912
Trauma Burn Emergency Surgery Of The University Of Rochester892116181121

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Anne Stassen-wagner allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019
Entity NameUniversity Of Rochester Surgical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740205566
PECOS PAC ID: 8022919232
Enrollment ID: O20040120000191
Entity NameTrauma Burn Emergency Surgery Of The University Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881886380
PECOS PAC ID: 8921161811
Enrollment ID: O20090121000149
Entity NameAcute Care Trauma Of The University Of Rochester
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851754634
PECOS PAC ID: 7810281029
Enrollment ID: O20160811000693

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Anne Stassen-wagner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicole Anne Stassen-wagner, MD
601 Elmwood Ave, Box Surg,
Rochester, NY 14642-8410

Ph: (585) 275-3376
Dr Nicole Anne Stassen-wagner, MD
601 Elmwood Ave, Box Surg,
Rochester, NY 14642-8410

Ph: (585) 275-3376

Reviews and Comments


Surgery Doctors in Rochester, NY

Meghan C Little, PA-C
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Jacob Moalem, M.D.
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Dustin John Fanciullo, M.D.
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Mary Lou O'neill-huber, M.D.
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Phone: 585-225-5420    Fax: 585-225-5644

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.