Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447827407 Individual Practitioner Female Practitioner

Lesa Wagner , MTD

Specialist/Technologist • Newport, OR

Professional Overview & Biography Verified Profile Summary

Lesa Wagner, MTD is a registered healthcare professional specializing in Specialist/Technologist in Newport, OR. Practice services are available at 36 SW NYE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36 Sw Nye St

Newport, OR 973653821

Telephone 5412650445
Fax 8447600526
Associated Practice Facility / Clinic
🏢 County Of Lincoln Facility NPI 1992755664

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in Newport, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Newport, OR (11 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: 2021-06-08
Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 225500000X

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Practice Associates & Co-Workers

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

35 Associated Practitioners
Amy Lundy , CMA

Nurse's Aide

NPI 1093532392
Marie Nagy , CMA

Nurse's Aide

NPI 1114744430
Jenny Brosi

Nurse Practitioner - Family

NPI 1134717762
Angela Martinez-Hernandez

Community Health Worker

NPI 1144837121
Rose Maros , ARNP

Nurse Practitioner - Family

NPI 1154001972

Advanced Registered Nurse Practitioner

Ajamu Mccoy , MA

Nurse's Aide

NPI 1164100830

Master of Arts

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2021

Registered at 36 SW NYE ST, NEWPORT, OR 973653821 (Tel: 5412650445)

📍
Updated Business Mailing Address June 08, 2021

Registered at 36 SW NYE ST, NEWPORT, OR 973653821 (Tel: 5412650445)

👤
Provider Name / Credentials Updated June 08, 2021

Recorded as LESA WAGNER, MTD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2021

Specialist/Technologist

🟢
Initial NPI Registration & Enumeration June 08, 2021

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: 1447827407
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2021
Last Update: June 08, 2021
Sole Proprietor: Yes

Mailing Address

36 Sw Nye St

Newport, OR 973653821

Phone: 5412650445

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.