Audrey Wagaman, PA-C
NPI 1073991501ActiveIndividual· Physician Assistant· Indianapolis, IN
Physician Assistant (PA-C) with Innovative Hematology Inc, practicing in Indianapolis, Indiana. Part D covered 683 prescriptions written in 2024, 85% of them generic. Lists Ascension St Vincent Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1073991501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 17, 2015 |
| Last updated in NPPES | Sep 10, 2021 |
| Certified by provider | Sep 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | — | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 683 · 856 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $74,133 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Innovative Hematology IncIndianapolis, IN · 19 clinicians
Hospital affiliations
- Ascension St Vincent HospitalIndianapolis, IN
- Indiana University HealthIndianapolis, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 728 physician assistants in Indianapolis · All physician assistants in Indiana