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DR. ZACHARY COLE WAGNER DO
NPI 1023703055
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 06, 2023PECOS Enrolled
1040 WISHARD BLVD, DUNLAP BUILDING, INDIANAPOLIS, IN 46202(317) 278-1090 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Zachary Cole Wagner Do NPPES

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

DR. ZACHARY COLE WAGNER DO (NPI 1023703055) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023703055
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ZACHARY COLE WAGNERCredential: DO
Location Address1040 WISHARD BLVD, DUNLAP BUILDINGIndianapolis, IN 46202
Mailing Address1040 Wishard Blvd, Dunlap BuildingIndianapolis, IN 46202 · (317) 962-8893
Phone(317) 278-1090
Sole ProprietorNo
Enumeration DateApril 6, 2023
NPPES CertifiedMarch 31, 2023
✔ NPI 1023703055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1040 WISHARD BLVD, Indianapolis, IN 46202
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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. Zachary Cole Wagner Do 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.

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.

RUBEN HERNAN HERNANDEZ MONDRAGON MD
Family Medicine
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
ANIKA TAHSIN SHAFIE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
LEA FEGHALI
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
MAITE BASTYR MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 963-4634
NICHOLAS REDILLA III
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-7930
ALLISON MARIE TANN NP
Nurse Practitioner (Family)
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8893
DR. AXELLE MAYODE ATCHADE MD
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090
GUNJAN KALSI MBBS
Student in an Organized Health Care Education/Training Program
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-1090

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 Zachary Wagner's NPI number?

The NPI number for Zachary Wagner is 1023703055. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Zachary Wagner located?

Zachary Wagner practices at 1040 Wishard Blvd Dunlap Building, Indianapolis, IN 46202. The listed phone number is (317) 278-1090.

What is Zachary Wagner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zachary Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Zachary Wagner was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.