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DR. JEFFREY DAVID WAGNER DNP, ARNP
NPI 1023552114
Nurse Practitioner - Family in Portland, OR

Active since December 08, 2016PECOS Enrolled
3303 SW BOND AVE, PORTLAND, OR 97239(503) 418-9400(503) 418-9401 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey David Wagner Dnp, Arnp NPPES

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

DR. JEFFREY DAVID WAGNER DNP, ARNP (NPI 1023552114) is an individual family provider in Portland, Oregon, licensed in Oregon (201801605NP-PP) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023552114
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JEFFREY DAVID WAGNERCredential: DNP, ARNP
Location Address3303 SW BOND AVEPortland, OR 97239
Mailing Address3303 Sw Bond AvePortland, OR 97239-4501 · (503) 418-9400 · Fax (503) 418-9401
Phone(503) 418-9400
Fax(503) 418-9401
Sole ProprietorNo
Enumeration DateDecember 8, 2016
Last NPPES UpdateSeptember 7, 2018
✔ NPI 1023552114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 201801605NP-PP
3303 SW BOND AVE, Portland, OR 97239
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey David Wagner Dnp, Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

DR. ALISON MARIE SMALL M.D.
Dermatology
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 418-3376
THOMAS ALEXIS MOLLOY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (253) 272-7777
MISS ANGELINA MARIE CIAVARELLA PT
Physical Therapist (Neurology)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-3151
JULIE ANNE LARSON RN-BSN
Registered Nurse (Ambulatory Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-4373
CHRISTOPHER WALTER RYAN MD
Internal Medicine (Medical Oncology)
3303 SW BOND AVE, 7TH FLOOR
PORTLAND, OR 97239
Multnomah County (503) 494-6594
DR. SHARON A KUBIK DNP, ACNP-BC, CCRN
Nurse Practitioner (Acute Care)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-8417
JOHN CARL MORRISON MD
Ophthalmology (Glaucoma Specialist)
3303 SW BOND AVE
PORTLAND, OR 97239
Multnomah County (503) 494-3000
DR. ANDREW JAMES NATONSON M.D.
Psychiatry & Neurology (Neurology)
3303 SW BOND AVE, SUITE 8
PORTLAND, OR 97239
Multnomah County (503) 494-7772

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 Jeffrey Wagner's NPI number?

The NPI number for Jeffrey Wagner is 1023552114. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Jeffrey Wagner located?

Jeffrey Wagner practices at 3303 SW Bond Ave, Portland, OR 97239. The listed phone number is (503) 418-9400.

What is Jeffrey Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeffrey Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Wagner was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.