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Active NPI 1093892333 Individual Practitioner Male Practitioner

Ronald Paul Wagner , PA-C

Physician Assistant • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Ronald Wagner, PA-C is a registered healthcare professional specializing in Physician Assistant in Jackson, MI. Practice services are available at 400 HINCKLEY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Hinckley Blvd
Ste A

Jackson, MI 492036125

Telephone 5177827432
Fax 5177827483
Associated Practice Facility / Clinic
🏢 Townsend Medical Center, Plc Facility NPI 1437100674

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Jackson, MI (7057 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601001400

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Vicki Tyrrell , MS, APRN, BC, GNP

Nurse Practitioner - Gerontology

NPI 1578521852

Master of Science, Advanced Practice Registered Nurse, BC, GNP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 400 HINCKLEY BLVD, STE A, JACKSON, MI 492036125 (Tel: 5177827432)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6180 AMANDA DR, EATON RAPIDS, MI 488279689 (Tel: 5177827415)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RONALD WAGNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #5601001400 in MI)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093892333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

6180 Amanda Dr

Eaton Rapids, MI 488279689

Phone: 5177827415

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.