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DEREK WAGNER
NPI 1285573949
Student in an Organized Health Care Education/Training Program in Warrensville Heights, OH

Active since March 27, 2026PECOS Enrolled
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122(216) 491-6000 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derek Wagner NPPES

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

DEREK WAGNER (NPI 1285573949) is an individual student in an organized health care education/training program in Warrensville Heights, Ohio and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285573949
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK WAGNER
Location Address20000 HARVARD AVEWarrensville Heights, OH 44122-6805
Mailing Address20000 Harvard AveWarrensville Heights, OH 44122-6805
Phone(216) 491-6000
Sole ProprietorYes
Enumeration DateMarch 27, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1285573949 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.

20000 HARVARD AVE, Warrensville Heights, OH 44122
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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)

Derek Wagner 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 20

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

AMANDA MOWRER FNP-C
Nurse Practitioner (Family)
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
LAUREN SARAH MUNOZ TREMBLAY DO
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
ALLISON MARKERT M.A. CCC/SLP
Speech-Language Pathologist
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-7390
DR. NOAH ROBERT BELKHAYAT DO
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
AMMAR KRSO DO
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
DENISE LYNN ROBISON APRN CNP
Nurse Practitioner
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
TAYLOR JORDAN STANG DO
Internal Medicine
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000
TANYA GUPTA
Student in an Organized Health Care Education/Training Program
20000 HARVARD AVE
WARRENSVILLE HEIGHTS, OH 44122
Cuyahoga County (216) 491-6000

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 Derek Wagner's NPI number?

The NPI number for Derek Wagner is 1285573949. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Derek Wagner located?

Derek Wagner practices at 20000 Harvard Ave, Warrensville Heights, OH 44122. The listed phone number is (216) 491-6000.

What is Derek 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 Derek Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Wagner was last updated on June 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.