DR. DEREK LAMONT WAGNER MD
NPI 1659012169
Student in an Organized Health Care Education/Training Program in Nashville, TN
About Dr. Derek Lamont Wagner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK LAMONT WAGNER MD (NPI 1659012169) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.
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 (PECOS)
Dr. Derek Lamont Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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.
NASHVILLE, TN 37208
NASHVILLE, TN 37208
NASHVILLE, TN 37208
NASHVILLE, TN 37208
NASHVILLE, TN 37208
NASHVILLE, TN 37208
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 Derek Wagner's NPI number?
The NPI number for Derek Wagner is 1659012169. It was assigned to this individual provider in the NPPES registry on April 6, 2022.
Where is Derek Wagner located?
Derek Wagner practices at 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208. The listed phone number is (615) 327-6385.
What is Derek Wagner's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Derek Wagner enrolled in Medicare?
Yes. Derek Wagner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derek Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Wagner reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Derek Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Wagner accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Derek 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.
When was this NPI record last updated?
The NPPES record for Derek Wagner was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Derek Lamont Wagner, MD · NPI 1659012169
Student in an Organized Health Care Education/Training Program provider in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1659012169 (Entity type: Individual)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1005 DR DB TODD JR BLVD, Nashville, TN 37208-3501
- **Phone:** (615) 327-6385
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1659012169) · Data from the CMS NPPES public registry.