LOIS WAGSTROM M.D., P.C.
NPI 1265694376
Surgery - Plastic and Reconstructive Surgery in Nashville, TN

Active since June 30, 2008
250 25TH AVE N, SUITE 301, NASHVILLE, TN 37203(615) 329-1822(615) 327-3206 Get Directions Write a Review

NPPES record last updated: August 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lois Wagstrom M.d., P.c. NPPES

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

LOIS WAGSTROM M.D., P.C. (NPI 1265694376) is a healthcare organization registered as a plastic and reconstructive surgery in Nashville, Tennessee and active in the NPI registry since June 2008. The organization lists Lois Wagstrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1265694376
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameLOIS WAGSTROM M.D., P.C.
Location Address250 25TH AVE N, SUITE 301Nashville, TN 37203-1632
Mailing Address250 25th Ave N, Suite 301Nashville, TN 37203-1632 · (615) 329-1822 · Fax (615) 327-3206
Fax(615) 327-3206
Organization SubpartNo
Authorized OfficialLois WagstromOwner · (615) 329-1822
Enumeration DateJune 30, 2008
Last NPPES UpdateAugust 11, 2008
✔ NPI 1265694376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TN · MDO21252
Definition
A surgeon who specializes in plastic and reconstructive surgery.
250 25TH AVE N, Nashville, TN 37203

Other Identifiers 1

Medicare PIN30583582TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lois Wagstrom M.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lois Wagstrom M.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1902852544
310 23RD AVE N STE. 100
Nashville, TN 37203
(615) 329-1822
✔ PECOS0.2 mi

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 Lois Wagstrom M.D., P.C.'s NPI number?

The NPI number for Lois Wagstrom M.D., P.C. is 1265694376. It was assigned to this organization in the NPPES registry on June 30, 2008.

Where is Lois Wagstrom M.D., P.C. located?

Lois Wagstrom M.D., P.C. is located at 250 25th Ave N Suite 301, Nashville, TN 37203. The listed phone number is (615) 329-1822.

What is Lois Wagstrom M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Lois Wagstrom M.D., P.C. enrolled in Medicare?

Yes. Lois Wagstrom M.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lois Wagstrom M.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Lois Wagstrom M.D., P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lois Wagstrom M.D., P.C. was last updated on August 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.