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Active NPI 1992821789 Individual Practitioner Female Practitioner

Kimberly D Wagner , PA-C

Physician Assistant • Carthage, MO

Professional Overview & Biography Verified Profile Summary

Kimberly Wagner, PA-C is a registered healthcare professional specializing in Physician Assistant in Carthage, MO. Practice services are available at 3071 S GRAND AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3071 S Grand Ave

Carthage, MO 648367851

Telephone 4173584811
Fax 4173584781
Associated Practice Facility / Clinic
🏢 Manzer Family Medicine, Llc Facility NPI 1982731444

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carthage, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Carthage, MO (1802 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
25 23 $105.00 $57.66

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2004003094

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

4 Associated Practitioners
Ruth West , LCSW

Social Worker - Clinical

NPI 1295265114

Licensed Clinical Social Worker

NPI 1407848971

Doctor of Medicine (M.D.)

Carrie Osiier , FNP

Nurse Practitioner - Family

NPI 1497793608

Family Nurse Practitioner

Wendy Mulder , NP

Nurse Practitioner - Family

NPI 1639523095

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 04, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2009

Registered at 3071 S GRAND AVE, CARTHAGE, MO 648367851 (Tel: 4173584811)

📍
Updated Business Mailing Address September 04, 2009

Registered at 3071 S GRAND AVE, CARTHAGE, MO 648367851 (Tel: 4173584811)

👤
Provider Name / Credentials Updated September 04, 2009

Recorded as KIMBERLY WAGNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2009

Physician Assistant (License #2004003094 in MO)

🟢
Initial NPI Registration & Enumeration March 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992821789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: September 04, 2009
Sole Proprietor: No

Mailing Address

3071 S Grand Ave

Carthage, MO 648367851

Phone: 4173584811

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.