JACOB BRADLEY WAGNER DNAP
NPI 1376251009
Registered Nurse - Critical Care Medicine in Madison, TN
About Jacob Bradley Wagner Dnap NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB BRADLEY WAGNER DNAP (NPI 1376251009) is an individual critical care medicine provider in Madison, Tennessee, licensed in Tennessee (267408) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains a secondary practice location in Bowling Green.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Jacob Bradley Wagner Dnap 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Franklin, KY 42134
- Reassigned Medicare billing, Kentucky enrollment
- 319 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Medical Center (bowling Green)
Acute Care Hospitals · Bowling Green, KYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacob Wagner's NPI number?
The NPI number for Jacob Wagner is 1376251009. It was assigned to this individual provider in the NPPES registry on November 11, 2022.
Where is Jacob Wagner located?
Jacob Wagner practices at 315 Hospital Dr, Madison, TN 37115. The listed phone number is (615) 732-7662.
What is Jacob Wagner's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.
Is Jacob Wagner enrolled in Medicare?
Yes. Jacob 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 organization bills Medicare for Jacob Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Wagner reassigns Medicare benefits to Commonwealth Health Corporation, Inc. (Franklin, KY). 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 Jacob Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Wagner accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Jacob 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.
Is Jacob Wagner affiliated with any hospitals?
According to CMS data, Jacob Wagner is affiliated with The Medical Center (bowling Green).
When was this NPI record last updated?
The NPPES record for Jacob Wagner was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Jacob Bradley Wagner, DNAP · NPI 1376251009
Critical Care Medicine provider in Madison, Tennessee. Individual provider, active in the CMS NPPES registry since November 11, 2022.
## Identity
- **NPI:** 1376251009 (Entity type: Individual)
- **Enumerated:** November 11, 2022
- **Primary specialty:** Registered Nurse - Critical Care Medicine · taxonomy 163WC0200X
- **State license:** 267408 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 HOSPITAL DR, Madison, TN 37115-5030
- **Phone:** (615) 732-7662
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Commonwealth Health Corporation, Inc. (NPI 1497279418, Franklin, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376251009) · Data from the CMS NPPES public registry.