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.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Derek Lamont Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 4 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
## 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.