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
- Primary practice
-
373 Broadway
Kingston, NY 124015151
(845) 303-1132
Credentials & registration
- 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
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629859426. Last verified May 11, 2026.Open Payments
Industry payments received
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
Hospital affiliations
Frequently asked questions
What is Dr. Elly Wagner's medical specialty?
Dr. Elly Wagner practices Physician Assistant in Kingston, NY.
Where does Dr. Elly Wagner practice?
Dr. Elly Wagner practices at 373 Broadway, Kingston, NY 124015151. Office phone: 8453031132.
What is Dr. Elly Wagner's NPI?
Dr. Elly Wagner's National Provider Identifier (NPI) is 1629859426, issued by NPPES.
Does Dr. Elly Wagner accept Medicare assignment?
Yes. Dr. Elly Wagner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.