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WOLF KARL VON WAAGNER MD
NPI 1124308580
General Practice in Davenport, FL

Active since August 17, 2011PECOS Enrolled
2306 NORTH BLVD W STE C, DAVENPORT, FL 33837(863) 547-9200(863) 547-9221 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wolf Karl Von Waagner Md NPPES

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

WOLF KARL VON WAAGNER MD (NPI 1124308580) is an individual general practice provider in Davenport, Florida, licensed in Florida (ME170625) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124308580
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameWOLF KARL VON WAAGNERCredential: MD
Location Address2306 NORTH BLVD W STE CDavenport, FL 33837-8976
Mailing Address423 Raritan AveStaten Island, NY 10305-2345 · (718) 755-8882
Phone(863) 547-9200
Fax(863) 547-9221
Sole ProprietorYes
Enumeration DateAugust 17, 2011
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1124308580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME170625
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2306 NORTH BLVD W STE C, Davenport, FL 33837
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wolf Karl Von Waagner Md 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 Reassignment

Medicare enrollment records show Wolf Von Waagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Olympia Medical Group, LLC
0.1 mi
Family Medicine
2306 NORTH BLVD W STE C
Davenport, FL 33837
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1013473495 (863) 547-9200

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

Other Providers at the Same Location NPPES 2

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

OLYMPIA MEDICAL GROUP, LLC
Family Medicine
2306 NORTH BLVD W STE C
DAVENPORT, FL 33837
Polk County (863) 547-9200
ROCIO LABRADA MSN, APRN, FNP-BC
Nurse Practitioner (Family)
2306 NORTH BLVD W STE C
DAVENPORT, FL 33837
Polk County (863) 547-9200

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 Wolf Von Waagner's NPI number?

The NPI number for Wolf Von Waagner is 1124308580. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Wolf Von Waagner located?

Wolf Von Waagner practices at 2306 North Blvd W Ste C, Davenport, FL 33837. The listed phone number is (863) 547-9200.

What is Wolf Von Waagner's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Wolf Von Waagner enrolled in Medicare?

Yes. Wolf Von Waagner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wolf Von Waagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wolf Von Waagner reassigns Medicare benefits to Olympia Medical Group, LLC (Davenport, FL). The 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 Wolf Von Waagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wolf Von Waagner accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Wolf Von Waagner 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 Wolf Von Waagner was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.