Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174264865 Individual Practitioner Female Practitioner

Dr. Michaela Renee Wagner , DO

Pediatrics • Lewistown, PA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Michaela Wagner, DO is a registered Pediatrics practitioner in Lewistown, PA. With approximately 4 years of clinical practice since completing medical education in 2022, Dr. Wagner provides healthcare services at the registered practice location at 21 GEISINGER LN.

Dr. Wagner does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

21 Geisinger Ln

Lewistown, PA 170443400

Telephone 7172424200
Fax 7172424237
Associated Practice Facility / Clinic
🏢 Geisinger Clinic Facility NPI 1528019973

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lewistown, PA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs Matches City Avg
City Avg: 4.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Lewistown, PA (3505 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

Clinical Seniority & Experience Comparison

Dr. Wagner (4 Years) 4 Yrs
Lewistown Specialty Average (4.0 Years) 4.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA OS024507

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1023305968

Doctor of Podiatric Medicine

NPI 1033178389

Doctor of Medicine (M.D.)

Rachel Lyden , PA-C

Physician Assistant

NPI 1063255727

Physician Assistant (Certified)

Colt Brackbill , PA-C

Physician Assistant

NPI 1063993707

Physician Assistant (Certified)

Elaine Bridgens , PA-C

Physician Assistant

NPI 1083094346

Physician Assistant (Certified)

Natalie Steffen , PA-C

Physician Assistant

NPI 1093079881

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Business Mailing Address July 22, 2025

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178224903 (Tel: 7172424200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2025

Pediatrics (License #OS024507 in PA)

📍
Updated Practice Location July 07, 2025

Registered at 21 GEISINGER LN, LEWISTOWN, PA 170443400 (Tel: 7172424200)

📍
Updated Business Mailing Address July 07, 2025

Registered at 21 GEISINGER LN, LEWISTOWN, PA 170443400

NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001 (Tel: 3367134500)

📍
Updated Business Mailing Address April 05, 2022

Registered at ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as MICHAELA WAGNER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2022

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: 1174264865
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: July 22, 2025
Sole Proprietor: Yes

Mailing Address

100 N Academy Ave

Danville, PA 178224903

Phone: 7172424200

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.