DR. JESSE WAGNER MD
NPI 1598415358
Physical Medicine & Rehabilitation in Philadelphia, PA
About Dr. Jesse Wagner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE WAGNER MD (NPI 1598415358) is an individual physical medicine & rehabilitation provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD492598) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marlton, and is a graduate of Medical College Of Georgia School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jesse Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jesse Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 361 clinicians in this Medicare group
Marlton, NJ 08053
- Reassigned Medicare billing, New Jersey enrollment
- 398 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.
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.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Jesse Wagner's NPI number?
The NPI number for Jesse Wagner is 1598415358. It was assigned to this individual provider in the NPPES registry on March 25, 2022.
Where is Jesse Wagner located?
Jesse Wagner practices at 833 Chestnut St Ste 1220, Philadelphia, PA 19107. The listed phone number is (800) 321-9999.
What is Jesse Wagner's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Jesse Wagner enrolled in Medicare?
Yes. Jesse Wagner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jesse Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Wagner reassigns Medicare benefits to 2 organizations: Reconstructive Orthopaedic Associates II LLC (Philadelphia, PA) and Rothman Orthopaedics Of New Jersey, LLC (Marlton, NJ). Each 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 Jesse Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jesse Wagner was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.