ANDREA JOAN WAGNER M.D.
NPI 1326102617
Physical Medicine & Rehabilitation in Somerville, MA
NPI Status: Active since December 20, 2006
Contact Information
236 HIGHLAND AVE
SOMERVILLE, MA
ZIP 02143
Phone: (617) 591-4263
Fax: (617) 591-4272
- Individual
- Female
- Physical Medicine & Rehabilitation
- PECOS Enrolled
About ANDREA WAGNER
This page provides the complete NPI Profile along with additional information for Andrea Wagner, a provider established in Somerville, Massachusetts with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1326102617 assigned on December 2006. The practitioner's primary taxonomy code is 208100000X with license number 54447 (MA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1326102617
- Provider Name
- ANDREA JOAN WAGNER M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 236 HIGHLAND AVE SOMERVILLE, MA 02143
- Location Phone
- (617) 591-4263
- Location Fax
- (617) 591-4272
- Mailing Address
- 230 HIGHLAND AVE SOMERVILLE, MA 02143
- Mailing Phone
- (617) 591-4263
- Mailing Fax
- (617) 591-4272
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-20-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 54447
- License State
- MA
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| J04479 | OTHER (01) | MA | BLUE CROSS BLUE SHIELD |
| J04479 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
Medicare Participation & PECOS Enrollment Status
Andrea Wagner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 2 | 6 | 1 | 0 | 2 | 6 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 2 | 0 | 4 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 2 + 0 + 4 + 6 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1326102617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831160860 | DR. DAPHNE ELEANOR SCHNEIDER M. D. Individual | Family Medicine (Geriatric Medicine) | 236 HIGHLAND AVE 2ND FLOOR SOMERVILLE, MA 02143 (617) 591-6300 |
| 1215982962 | RUTH P HERTZMAN-MILLER MD Individual | Internal Medicine | 236 HIGHLAND AVE CHA - SOMERVILLE HOSPITAL PRIMARY CARE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1639116858 | DONALD F MORAN M.D. Individual | Internal Medicine | 236 HIGHLAND AVE SOMERVILLE HOSPITAL SOMERVILLE, MA 02143 (617) 591-4920 |
| 1366482804 | PIETER A COHEN M.D. Individual | Internal Medicine | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1932140258 | DR. JON WESLEY BOYD M.D., PH.D. Individual | Psychiatry & Neurology (Psychiatry) | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1780793281 | RICHARD B BALABAN M.D. Individual | Internal Medicine | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1649344094 | CAROLYN JORDAN APRN Individual | Nurse Practitioner (Adult Health) | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1508930587 | MADELINE BAROTT MD Individual | Ophthalmology | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-4949 |
| 1386718450 | DR. VINCENT J PATALANO II MD Individual | Ophthalmology | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 665-4949 |
| 1083788277 | ARTURO VILLARREAL-VERDECIA MD Individual | Internal Medicine | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-4920 |
| 1669546883 | STEVEN M PATALANO MD Individual | Ophthalmology | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 665-1347 |
| 1174698377 | LYNNE CRAWFORD NP Individual | Nurse Practitioner | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1063613081 | MS. BRENDA ANN ROGERS A.P.R.N. Individual | Nurse Practitioner (Family) | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 298-4400 |
| 1437359197 | DENISE LUNN Individual | Registered Nurse | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-4590 |
| 1396047205 | MS. JOAN MACCORMACK RN Individual | Registered Nurse (Ambulatory Care) | 236 HIGHLAND AVE 2ND FL SOMERVILLE, MA 02143 (617) 591-4332 |
| 1770885402 | MRS. ELAINA M GUY RN Individual | Registered Nurse (Ambulatory Care) | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1730481458 | MS. DENISE MARIE MOLLOMO-TERRY R.N Individual | Registered Nurse (Ambulatory Care) | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-6300 |
| 1659674588 | MRS. DINEEN MARY TENNIHAN RN Individual | Registered Nurse | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-4369 |
| 1508117359 | MS. MELISSA JOSEPH RN Individual | Registered Nurse (Ambulatory Care) | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 591-4332 |
| 1861732695 | HENRIQUE OLIVEIRA SCHMIDT LSW Individual | Social Worker | 236 HIGHLAND AVE SOMERVILLE, MA 02143 (617) 999-7074 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326102617, enumerated in the NPI registry as an "individual" on December 20, 2006
The provider is located at 236 Highland Ave Somerville, Ma 02143 and the phone number is (617) 591-4263
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on December 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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