DEVON WAGNER APRN
NPI 1407618739
Nurse Practitioner - Primary Care in Issaquah, WA

Active since January 23, 2024PECOS EnrolledAccepts Medicare Assignment
5708 E. LAKE SAMMANISH PKWY SE, ISSAQUAH, WA 98029(425) 688-5777 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Devon Wagner Aprn NPPES

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

DEVON WAGNER APRN (NPI 1407618739) is an individual primary care provider in Issaquah, Washington, licensed in Washington (AP61598671) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407618739
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameDEVON WAGNERCredential: APRN
Location Address5708 E. LAKE SAMMANISH PKWY SEIssaquah, WA 98029
Mailing Address5708 E. Lake Sammanish Pkwy SeIssaquah, WA 98029 · (425) 688-5777
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 23, 2024
Last NPPES UpdateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
NPI 1407618739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in WA · AP61598671
Also ListedRegistered NurseTaxonomy 163W00000X · License 60929310 (WA)
5708 E. LAKE SAMMANISH PKWY SE, Issaquah, WA 98029

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Devon Wagner Aprn 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 ID9638601719
PECOS Enrollment IDI20241014003695
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Devon Wagner's NPI number?

The NPI number for Devon Wagner is 1407618739. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Devon Wagner located?

Devon Wagner practices at 5708 E. Lake Sammanish Pkwy SE, Issaquah, WA 98029. The listed phone number is (425) 688-5777.

What is Devon Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Devon Wagner enrolled in Medicare?

Yes. Devon 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.

What insurance does Devon Wagner accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Devon 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 Devon Wagner affiliated with any hospitals?

According to CMS data, Devon Wagner is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Devon Wagner was last updated on August 23, 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.