JACOB WAGNER M.D.
NPI 1700266079
Internal Medicine in Minneapolis, MN
About Jacob Wagner M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB WAGNER M.D. (NPI 1700266079) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (67426) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 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 and accepts Medicare assignment
Jacob Wagner M.d. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Jacob Wagner reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Jacob Wagner's NPI number?
The NPI number for Jacob Wagner is 1700266079. It was assigned to this individual provider in the NPPES registry on June 2, 2015.
Where is Jacob Wagner located?
Jacob Wagner practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.
What is Jacob Wagner's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jacob Wagner enrolled in Medicare?
Yes. Jacob Wagner 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.
Which organizations bill Medicare for Jacob Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Wagner reassigns Medicare benefits to 7 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Bethesda Hospital (Minneapolis, MN), Fairview Clinics (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN) and 2 more organizations, listed in the Medicare section above. 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 Jacob Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Wagner accept?
Health plans from Sanford Health Plan list Jacob 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.
Is Jacob Wagner affiliated with any hospitals?
According to CMS data, Jacob Wagner is affiliated with M Health Fairview University Of Mn.
When was this NPI record last updated?
The NPPES record for Jacob Wagner was last updated on November 22, 2022. 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.
# Jacob Wagner, M.D. · NPI 1700266079
Internal Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 2, 2015.
## Identity
- **NPI:** 1700266079 (Entity type: Individual)
- **Enumerated:** June 2, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 67426 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1450
- **Phone:** (612) 672-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841428745, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); Fairview Clinics (NPI 1043516867, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2015
## Record status
- **NPPES last updated:** November 22, 2022
- **Other identifiers:** Medicaid 201297560 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1700266079) · Data from the CMS NPPES public registry.