Individual
KRIS A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 267-7164
(717) 267-7414
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN586219
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050514
MEDICARE GROUP #
PA
01
—
1007307260035
MEDICAID GROUP #
PA
05
—
142734113
—
PA
Enumeration date
05/27/2011
Last updated
10/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us