Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

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

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

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 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 maintains 4 additional practice locations.

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
Fax(937) 641-2780
Sole ProprietorYes
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

Secondary Practice Locations 4

Location 13130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466 · Fax (937) 440-4470
Location 21 Wyoming St Ste Se3100BDayton, OH 45409-2722 · Phone (937) 208-8394 · Fax (937) 641-2780
Location 31 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 974-2111 · Fax (513) 974-5156
Location 49000 N Main StEnglewood, OH 45415-1180 · 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

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.

Nurse Practitioner (Acute Care)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR, SPORTS MEDICINE CETER
CENTERVILLE, OH 45459
Physician Assistant
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
General Acute Care Hospital
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Specialist/Technologist (Athletic Trainer)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Nurse Practitioner (Family)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Nurse Practitioner (Adult Health)
2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459

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.

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 7 days 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.