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JOHN WAGNER M.D.
NPI 1033320577
Psychiatry & Neurology - Child & Adolescent Psychiatry in Shreveport, LA

Active since May 25, 2007PECOS Enrolled
7330 FERN AVE STE 704, SHREVEPORT, LA 71105(318) 798-8261(316) 798-8263 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2019, Apr 25, 2019 (2 updates tracked since 2019).

About John Wagner M.d. NPPES

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

JOHN WAGNER M.D. (NPI 1033320577) is an individual child & adolescent psychiatry provider in Shreveport, Louisiana, licensed in Louisiana (MD.201230) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033320577
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJOHN WAGNERCredential: M.D.
Location Address7330 FERN AVE STE 704Shreveport, LA 71105-4985
Mailing Address7330 Fern Ave Ste 704Shreveport, LA 71105-4985 · (318) 798-8261 · Fax (316) 798-8263
Phone(318) 798-8261
Fax(316) 798-8263
Sole ProprietorYes
Enumeration DateMay 25, 2007
Last NPPES UpdateMay 22, 20192 updates tracked since enumeration
✔ NPI 1033320577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in LA · MD.201230
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
7330 FERN AVE STE 704, Shreveport, LA 71105
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Other Identifiers 2

Medicaid1214841LA
Other4P278F600LA · Medicare - Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Wagner M.d. 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.

Medicare Billing Reassignments

2

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

Lsu Health Sciences Center Shreveport Faculty Group Practice
3.6 mi
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
NPI 1013374222 (318) 626-0000
Brentwood Acquisition-Shreveport Inc.
4.5 mi
Psychiatry
1006 HIGHLAND AVE
Shreveport, LA 71101
  • Reassigned Medicare billing, Louisiana enrollment
  • 39 clinicians in this Medicare group
NPI 1164725701 (318) 678-7500

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

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 John Wagner's NPI number?

The NPI number for John Wagner is 1033320577. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is John Wagner located?

John Wagner practices at 7330 Fern Ave Ste 704, Shreveport, LA 71105. The listed phone number is (318) 798-8261.

What is John Wagner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is John Wagner enrolled in Medicare?

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

Which organizations bill Medicare for John Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Wagner reassigns Medicare benefits to 2 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA) and Brentwood Acquisition-Shreveport Inc. (Shreveport, LA). 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 John Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Wagner accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list John 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 John Wagner was last updated on May 22, 2019. 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.