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DR. WYATT ASHER BIEBIGHAUSER-WAGNER MD
NPI 1225725997
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 21, 2023PECOS Enrolled
420 DELAWARE STREET SE, MMC 913, MINNEAPOLIS, MN 55455(612) 624-0990 Get Directions Write a Review

NPPES record last updated: May 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Wyatt Asher Biebighauser-wagner Md NPPES

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

DR. WYATT ASHER BIEBIGHAUSER-WAGNER MD (NPI 1225725997) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225725997
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WYATT ASHER BIEBIGHAUSER-WAGNERCredential: MD
Location Address420 DELAWARE STREET SE, MMC 913Minneapolis, MN 55455-0341
Mailing Address420 Delaware Street Se, Mmc 913Minneapolis, MN 55455-0341 · (612) 624-0990
Phone(612) 624-0990
Sole ProprietorNo
Enumeration DateApril 21, 2023
Last NPPES UpdateMay 26, 2024
NPPES CertifiedMay 26, 2024
✔ NPI 1225725997 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.
420 DELAWARE STREET SE, MMC 913, Minneapolis, MN 55455
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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. Wyatt Asher Biebighauser-wagner 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.

Other Providers at the Same Location NPPES 3

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

TAYLOR BROCKMAN MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 913
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-0990
SHRAYA PATEL
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 913
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-0990
ABDIMALIK AHMED MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 913
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-0990

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 Wyatt Biebighauser-wagner's NPI number?

The NPI number for Wyatt Biebighauser-wagner is 1225725997. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Wyatt Biebighauser-wagner located?

Wyatt Biebighauser-wagner practices at 420 Delaware Street SE, Mmc 913, Minneapolis, MN 55455. The listed phone number is (612) 624-0990.

What is Wyatt Biebighauser-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 Wyatt Biebighauser-wagner enrolled in Medicare?

Yes. Wyatt Biebighauser-wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wyatt Biebighauser-wagner was last updated on May 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.