Nicole Anne Stassen-Wagner, M.D.
NPI 1417984519ActiveIndividual· Surgery, Trauma Surgery· Rochester, NY
Surgery, Trauma Surgery (M.D.) in Rochester, New York, trained at Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc) (class of 1995). Medicare paid $26,307 for services to 86 patients in 2024.
Overview
| NPI | 1417984519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 26, 2006 |
| Last updated in NPPES | Jul 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | 230009 | NY |
| Surgery, Surgical Critical Care | 2086S0102X | 230009 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 86 |
|---|---|
| Services billed | 211 across 30 procedure codes |
| Paid by Medicare | $26,307 |
Education and affiliations
| Medical school | Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc) |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | General Surgery |
| Secondary specialties | Critical Care (Intensivists) |
Medical groups
- Trauma Burn Emergency Surgery of the University of RochesterRochester, NY · 24 clinicians
- Acute Care Trauma of the University of RochesterRochester, NY · 13 clinicians
Hospital affiliations
- F F Thompson HospitalCanandaigua, NY
- Jones Memorial HospitalWellsville, NY
- Strong Memorial HospitalRochester, NY
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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