JOHN E WAGNER MD
NPI 1205933595
Pediatrics - Pediatric Hematology-Oncology in Minneapolis, MN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
516 DELAWARE ST SE, PWB FIFTH FLOOR, SUITE 5-100, CLINIC 5B, MINNEAPOLIS, MN 55455(612) 626-2663 Get Directions Write a Review

NPPES record last updated: October 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John E Wagner Md NPPES

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

JOHN E WAGNER MD (NPI 1205933595) is an individual pediatric hematology-oncology provider in Minneapolis, Minnesota, licensed in Minnesota (34354) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1981).

NPPES Registry Identity

NPI1205933595
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameJOHN E WAGNERCredential: MD
Location Address516 DELAWARE ST SE, PWB FIFTH FLOOR, SUITE 5-100, CLINIC 5BMinneapolis, MN 55455-0356
Mailing Address420 Delaware St Se, Mmc 692,university Of Minnesota PhysiciansMinneapolis, MN 55455-0341 · (612) 626-2663
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1981
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 29, 2012
✔ NPI 1205933595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in MN · 34354
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 34354 (MN)
516 DELAWARE ST SE, Minneapolis, MN 55455

Other Identifiers 17

Other090290MN · Fairview
Other3624608MN · Medica - Choice
Other3674548MN · Medica - Primary
Other768393MN · Araz
OtherHP22006MN · Healthpartners
Medicaid7777470SD
Medicare ID-Type Unspecified01167519NY
Medicaid2086719201KS
Medicaid837207100MN
Other1009344MN · Preferredone
Other2T332WAMN · Blue Cross Blue Shield
Medicaid1688300WI
Medicaid10387ND
Medicaid1970657IA
Other100981MN · Ucare
Medicare ID-Type Unspecified370001539MN
Medicaid1896241LA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John E Wagner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395818538
PECOS Enrollment IDI20080721000527
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

9

Medicare enrollment records show John Wagner reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Clinic/Center
606 24TH AVE S, STE 602
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Internal Medicine
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 671 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Dermatology
516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG.
MINNEAPOLIS, MN 55455
Clinic/Center (Ophthalmologic Surgery)
516 DELAWARE ST SE, DEPARTMENT OF OPHTHALMOLOGY
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
516 DELAWARE ST SE, CLINIC 1C
MINNEAPOLIS, MN 55455
Ophthalmology
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dentist (Periodontics)
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Surgery
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology)
516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA
MINNEAPOLIS, MN 55455
Internal Medicine (Nephrology)
516 DELAWARE ST SE, CLINIC 2A
MINNEAPOLIS, MN 55455

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 1205933595. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is John Wagner located?

John Wagner practices at 516 Delaware St SE Pwb Fifth Floor, Suite 5-100, Clinic 5B, Minneapolis, MN 55455. The listed phone number is (612) 626-2663.

What is John Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is John Wagner enrolled in Medicare?

Yes. John Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 9 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Fairview Bethesda Hospital (Minneapolis, MN) and 4 more organizations, listed in the Medicare section above. 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 Sanford Health Plan 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 October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.