Doctor profile · Federal record

Dr. ELLY WAGNER, PA-C

Physician Assistant · KINGSTON, NY

  • NPI 1629859426
  • Accepts Medicare
  • 3 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
373 BROADWAY
KINGSTON, NY 124015151
(845) 303-1132

Credentials & registration

NPPES · NUCC
NPI registered
October 2023 — 3 yrs on file
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
New York #030799

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629859426. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$110
Transactions
6
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
PFIZER INC. 4 $70.15
Exeltis, USA Inc. 2 $39.45

By nature of payment

Food and Beverage
$110

Hospital affiliations

CMS Hospital Compare

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 21, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›