Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720174931 Individual Practitioner Female Practitioner

Sarah C Wagner , PA-C

Physician Assistant • Mill City, OR

Professional Overview & Biography Verified Profile Summary

Sarah Wagner, PA-C is a registered healthcare professional specializing in Physician Assistant in Mill City, OR. Practice services are available at 280 S 1ST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

280 S 1st Ave

Mill City, OR 973602324

Telephone 5038974100
Fax 5038972673
Associated Practice Facility / Clinic
🏢 Santiam Memorial Hospital Facility NPI 1396131389

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mill City, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Mill City, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2021-05-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA161499

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MT 99

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 3110

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
500657211 (OR)
Commercial Insurance / Payer ID Railroad Medicare - Ph&s
R01271179 (OR)

Secondary Practice Locations

9290 Se Sunnybrook Blvd, Suite 120

Clackamas, OR 970156802

Phone: 5032152110

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1053674317

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Joseph Lulich , FNP-C

Nurse Practitioner - Family

NPI 1134451784

Family Nurse Practitioner (Certified)

Dr. Lynn Gower , DO

Family Medicine

NPI 1275708000

Doctor of Osteopathic Medicine (D.O.)

NPI 1518999184

Doctor of Medicine (M.D.)

Jessica Grim , FNP

Nurse Practitioner - Family

NPI 1568225738

Family Nurse Practitioner

Dr. Amy Sutkus , MD

Family Medicine

NPI 1588869119

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 18, 2021

Registered at 280 S 1ST AVE, MILL CITY, OR 973602324 (Tel: 5038974100)

📍
Updated Business Mailing Address May 18, 2021

Registered at PO BOX 47, MILL CITY, OR 973600047 (Tel: 5038974100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Physician Assistant (License #99 in MT)

NPI Profile Active February 06, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2015

Registered at 9290 SE SUNNYBROOK BLVD, SUITE 120, CLACKAMAS, OR 970156802 (Tel: 5032152110)

📍
Updated Business Mailing Address February 06, 2015

Registered at PO BOX 3158, PORTLAND, OR 972083158

👤
Provider Name / Credentials Updated February 06, 2015

Recorded as SARAH WAGNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2015

Physician Assistant (License #PA161499 in OR)

🟢
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sarah Wagner. Be the first to share your experience!

Sign in to leave a review for Sarah Wagner

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720174931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: May 18, 2021
Sole Proprietor: No

Mailing Address

Po Box 47

Mill City, OR 973600047

Phone: 5038974100

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.