JOHN ANDREW WAGONER
NPI 1528797743
Psychiatry & Neurology - Psychiatry in Des Moines, IA

Q: What is John Wagoner's NPI number?

The NPI number for John Wagoner is 1528797743. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Q: What is John Wagoner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for John Wagoner was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 06, 2022PECOS EnrolledAccepts Medicare Assignment

1801 HICKMAN RD, DES MOINES, IA 50314(151) 528-2854 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About John Andrew Wagoner NPPES

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

JOHN ANDREW WAGONER (NPI 1528797743) is an individual psychiatry provider in Des Moines, Iowa, licensed in Iowa (R-12603) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Broadlawns Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2022).

NPPES Registry Identity

NPI1528797743

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJOHN ANDREW WAGONER

Location Address1801 HICKMAN RDDes Moines, IA 50314-1548

Mailing Address1801 Hickman RdDes Moines, IA 50314-1548 · (151) 528-2854

Phone(151) 528-2854

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2022

Enumeration DateJune 6, 2022

NPPES CertifiedJune 1, 2022

✔ NPI 1528797743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IA · R-12603

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1801 HICKMAN RD, Des Moines, IA 50314

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

John Andrew Wagoner 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 ID6002296639

PECOS Enrollment IDI20251107003667

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.

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number160101

Location1801 Hickman RoadDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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

$161.40 typical visit price

range $52.96 – $161.40

Typical copayment $40.35 (range $13.24 – $40.35)

Most-billed visit code 99205

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MATTHEW HELMICK WILLIAMS D.O.

Family Medicine

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5640

ALEX YEONWOO KIM DO

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

CAMERON MATTHIAS GREINER DO

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

MARK DYKEN MD

Student in an Organized Health Care Education/Training Program

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2200

KELLI GREEN MD

Psychiatry & Neurology (Psychiatry)

1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314

Polk County (515) 282-2319

KATRINA COEN

Pharmacist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2378

NICOLE RENEE SLIVA OTR/L

Occupational Therapist

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-5621

GARY HUDSON PA-C

Physician Assistant

1801 HICKMAN RD
DES MOINES, IA 50314

Polk County (515) 282-2319

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 John Wagoner's NPI number?

The NPI number for John Wagoner is 1528797743. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Where is John Wagoner located?

John Wagoner practices at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (151) 528-2854.

What is John Wagoner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Wagoner enrolled in Medicare?

Yes. John Wagoner 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 John Wagoner accept?

Health plans from Oscar Insurance Company list John Wagoner 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 John Wagoner affiliated with any hospitals?

According to CMS data, John Wagoner is affiliated with Broadlawns Medical Center.

When was this NPI record last updated?

The NPPES record for John Wagoner was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.