Ms Ellen A Wagner, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Southampton, NY

  1. Home
  2. Nurse Anesthetist - CR
  3. NY
  4. Southampton
Ms Ellen A Wagner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Southampton, New York. She graduated from nursing school in 1981 and has 43 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Shore - Lij Anesthesiology, Pc, Narragansett Bay Anesthesia Llc and her current practice location is 265 Herrick Road, Southampton, New York. You can reach out to her office (for appointments etc.) via phone at (631) 726-8350.

Ms Ellen A Wagner is licensed to practice in Rhode Island (license number APRN03496) 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 1568408789.

Contact Information

Ms Ellen A Wagner, CRNA
265 Herrick Road,
Southampton, NY 11968
(631) 726-8350
(631) 726-8519

Map and Direction




Provider's Profile

Full NameMs Ellen A Wagner
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience43 Years
Location265 Herrick Road, Southampton, 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:
  • Ms Ellen A Wagner graduated from nursing school in 1981
  NPI Data:
  • NPI Number: 1568408789
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 07/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2062406291
  • Enrollment ID: I20040412000927

Medical Identifiers

Medical identifiers for Ms Ellen A Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568408789NPI-NPPES
P00164249OtherRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 3472891 (New York)Secondary
367500000XNurse Anesthetist, Certified Registered APRN03496 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Our Lady Of Fatima HospitalNorth providence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore - Lij Anesthesiology, Pc1153602453779
Narragansett Bay Anesthesia Llc5991774929100

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. Ms Ellen A Wagner allows following entities to bill medicare on her behalf.
Entity NameLong Island Anesthesia Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952387276
PECOS PAC ID: 7113825381
Enrollment ID: O20040106000103
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841239829
PECOS PAC ID: 9537067715
Enrollment ID: O20040114000461
Entity NameSuffolk Anesthesiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194826420
PECOS PAC ID: 6204725740
Enrollment ID: O20040312000960
Entity NameEast End Anesthesiologists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194778084
PECOS PAC ID: 4789575234
Enrollment ID: O20040323001375
Entity NameWeill Medical College Of Cornell
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164768305
PECOS PAC ID: 6800709023
Enrollment ID: O20130308000455
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613
Entity NameNorth Shore - Lij Anesthesiology, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417401266
PECOS PAC ID: 1153602453
Enrollment ID: O20161228001498

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. Ms Ellen A 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
Ms Ellen A Wagner, CRNA
455 Toll Gate Rd, Prc And Credentialing,
Warwick, RI 02886

Ph: (401) 273-0641		Ms Ellen A Wagner, CRNA
265 Herrick Road,
Southampton, NY 11968

Ph: (631) 726-8350

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Southampton, NY

Mr. Robert Mineo, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 265 Herrick Road, Southampton, NY 11968
Phone: 631-726-8350    Fax: 631-726-8519

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.