SCOTT WAGNER INTEGRATED MEDICINE LLC
NPI 1447875042
General Practice in Charlottesville, VA

Active since June 10, 2020
2109 INDIA RD, CHARLOTTESVILLE, VA 22901(434) 978-4888 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, Feb 13, 2023, Jun 10, 2020 (3 updates tracked since 2020).

About Scott Wagner Integrated Medicine Llc NPPES

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

SCOTT WAGNER INTEGRATED MEDICINE LLC (NPI 1447875042) is a healthcare organization registered as a general practice in Charlottesville, Virginia and active in the NPI registry since June 2020. The organization lists Scott Brian Wagner, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1447875042
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSCOTT WAGNER INTEGRATED MEDICINE LLC
Location Address2109 INDIA RDCharlottesville, VA 22901-2886
Mailing Address2109 India RdCharlottesville, VA 22901-2886 · (434) 978-4888 · Fax (434) 978-3633
Organization SubpartNo
Authorized OfficialScott Brian WagnerAuthorized Official · (434) 978-4888
Enumeration DateJune 10, 2020
Last NPPES UpdateJune 20, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1447875042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2109 INDIA RD, Charlottesville, VA 22901

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Scott Wagner Integrated Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Scott Wagner Integrated Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner12
Chiropractic3
Physical Medicine and Rehabilitation2
Physical Therapist in Private Practice1
Physician Assistant1

Clinicians, nearest first (19)

Physician Assistant
NPI 1710108105
2109 INDIA RD
Charlottesville, VA 22901
(434) 978-4888
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1053340588
2109 INDIA RD
Charlottesville, VA 22901
(434) 978-4888
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083434781
1170 EMMET ST N
Charlottesville, VA 22903
(434) 293-9151
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1669245874
1335 CARLTON AVE
Charlottesville, VA 22902
(434) 202-6922
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1861055907
2955 IVY RD STE 104
Charlottesville, VA 22903
(434) 243-4720
✔ PECOS✔ Accepts Medicare3.4 mi
Physical Medicine and Rehabilitation
NPI 1487723003
2050 ABBEY RD SUITE A
Charlottesville, VA 22911
(434) 295-3600
✔ PECOS3.4 mi
Nurse Practitioner
NPI 1346570058
140 STONERIDGE DR S STE 100
Ruckersville, VA 22968
(434) 654-1850
✔ PECOS13 mi
Nurse Practitioner
NPI 1558616243
2215 LANDOVER PL
Lynchburg, VA 24501
(434) 947-3944
✔ PECOS59 mi
Nurse Practitioner
NPI 1073089249
8015 COLD HARBOR RD
Mechanicsville, VA 23111
(800) 640-3451
✔ PECOS69 mi
Nurse Practitioner
NPI 1831542190
8015 COLD HARBOR RD
Mechanicsville, VA 23111
(800) 640-3451
✔ PECOS69 mi
Nurse Practitioner
NPI 1184591463
12872 CLASSIC SPRINGS DR
Manassas, VA 20112
(803) 463-8254
✔ PECOS71 mi
Nurse Practitioner
NPI 1649565003
1 ARH LN STE 201
Low Moor, VA 24457
(540) 444-5670
✔ PECOS74 mi
Nurse Practitioner
NPI 1366028425
609 CHURCH ST
Clifton Forge, VA 24422
(540) 862-8860
✔ PECOS75 mi
Physical Therapist in Private Practice
NPI 1669100129
4720 PUDDLEDOCK RD STE 130
Prince George, VA 23875
(804) 520-7779
83 mi
Nurse Practitioner
NPI 1760950331
600 GRESHAM DR FL 7
Norfolk, VA 23507
(757) 388-3447
✔ PECOS146 mi
Nurse Practitioner
NPI 1215311436
112 SPARKS DR
Forest City, NC 28043
(828) 651-6000
✔ PECOS267 mi
Physical Medicine and Rehabilitation
NPI 1184771891
600 E PALMETTO ST
Florence, SC 29506
(843) 667-9414
✔ PECOS276 mi
Chiropractic
NPI 1619757036
468 DELAWARE AVE FL 3
Buffalo, NY 14202
(716) 847-1200
334 mi
Chiropractic
NPI 1568065332
3211 N MILWAUKEE ST
Boise, ID 83704
(208) 740-3843
2,000 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Scott Wagner Integrated Medicine Ll carries, from the Medicare DMEPOS supplier directory.

Scott Wagner Integrated Medicine Ll

DMEPOS supplier · Charlottesville, VAOperated by Scott Wagner Integrated Medicine LLC
✔

Accepts Medicare assignment

Scott Wagner Integrated Medicine Ll agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413709
Medicare Participant SinceJune 2, 2020
Supplier Location2109 India RdCharlottesville, VA 22901
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Scott Wagner Integrated Medicine LLC's NPI number?

The NPI number for Scott Wagner Integrated Medicine LLC is 1447875042. It was assigned to this organization in the NPPES registry on June 10, 2020.

Where is Scott Wagner Integrated Medicine LLC located?

Scott Wagner Integrated Medicine LLC is located at 2109 India Rd, Charlottesville, VA 22901. The listed phone number is (434) 978-4888.

What is Scott Wagner Integrated Medicine LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Scott Wagner Integrated Medicine LLC enrolled in Medicare?

Yes. Scott Wagner Integrated Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott Wagner Integrated Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 5 Medicare specialties reassign their Medicare billing to Scott Wagner Integrated Medicine LLC. 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. The largest specialties are Nurse Practitioner (12), Chiropractic (3) and Physical Medicine and Rehabilitation (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scott Wagner Integrated Medicine LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Scott Wagner Integrated Medicine Ll accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Scott Wagner Integrated Medicine LLC was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.