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JENNIFER M WAGNER
NPI 1003736984
Nurse Practitioner - Acute Care in Centerville, OH

Active since July 20, 2026PECOS Enrolled
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459(937) 208-8394(937) 641-2780 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2026, Jul 20, 2026 (2 updates tracked since 2026).

About Jennifer M Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER M WAGNER (NPI 1003736984) is an individual acute care provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.0042761) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1003736984
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER M WAGNER
Location Address2400 MIAMI VALLEY DRCenterville, OH 45459-4774
Mailing Address3170 Kettering Blvd Bldg B2ndMoraine, OH 45439-1924
Phone(937) 208-8394
Fax(937) 641-2780
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 20, 2026
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1003736984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0042761
2400 MIAMI VALLEY DR, Centerville, OH 45459
Open in Google Maps ↗

Secondary Practice Locations 4

Location 19000 N Main StEnglewood, OH 45415-1180 · Phone (937) 208-8394 · Fax (937) 641-2780
Location 21 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 974-2111 · Fax (513) 974-5156
Location 33130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466 · Fax (937) 440-4470
Location 41 Wyoming St Ste Se3100BDayton, OH 45409-2722 · Phone (937) 208-8394 · Fax (937) 641-2780

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer M Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628536653
PECOS Enrollment IDI20260819003033
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mvhe Inc
0.1 mi
Family Medicine
2350 MIAMI VALLEY DR, SUITE 530
Centerville, OH 45459
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1659323467 (937) 435-3546
Upper Valley Professional Corporation
24 mi
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
NPI 1407872518 (937) 440-7497

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER DAVIS NP
Nurse Practitioner (Acute Care)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400
LUCAS POLLEY
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR, SPORTS MEDICINE CETER
CENTERVILLE, OH 45459
Montgomery County (937) 876-9833
LINDSEY R BOWEN PA
Physician Assistant
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 208-8394
JODI DIEDRICH AT, ATC
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (920) 838-3359
JENNA WILLIAMS ATC
General Acute Care Hospital
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400
MISS ERIN BERBERICH ATC
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400
MRS. EMILY P SORENSEN NP-C
Nurse Practitioner (Family)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400
ALICIA SLIFER
Nurse Practitioner (Adult Health)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 438-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wagner's NPI number?

The NPI number for Jennifer Wagner is 1003736984. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Where is Jennifer Wagner located?

Jennifer Wagner practices at 2400 Miami Valley Dr, Centerville, OH 45459. The listed phone number is (937) 208-8394.

What is Jennifer Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Wagner enrolled in Medicare?

Yes. Jennifer Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Wagner reassigns Medicare benefits to 2 organizations: Mvhe Inc (Centerville, OH) and Upper Valley Professional Corporation (Troy, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Wagner accept?

Health plans from CareSource list Jennifer Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Wagner was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.