WAGNER MEDICAL CLINIC
NPI 1720183031
Family Medicine in Manila, AR
About Wagner Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WAGNER MEDICAL CLINIC (NPI 1720183031) is a healthcare organization registered as a family medicine in Manila, Arkansas and active in the NPI registry since September 2006. The organization lists Tommy W Wagner, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wagner Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Wagner Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 T W Wagner Inc's NPI number?
The NPI number for T W Wagner Inc is 1720183031. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Wagner Medical Clinic.
Where is T W Wagner Inc located?
T W Wagner Inc is located at 3644 W State Highway 18, Manila, AR 72442. The listed phone number is (870) 561-3300.
What is T W Wagner Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is T W Wagner Inc enrolled in Medicare?
Yes. T W Wagner Inc is registered in the Medicare PECOS enrollment system.
When is T W Wagner Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through T W Wagner Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to T W Wagner Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does T W Wagner Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list T W Wagner Inc 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 T W Wagner Inc was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Wagner Medical Clinic · NPI 1720183031
Family Medicine organization in Manila, Arkansas. Organization record, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1720183031 (Entity type: Organization)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** T W Wagner Inc
- **Organization subpart:** No
- **Authorized official:** Tommy Wagner, OWNER
## Practice location
- **Address:** 3644 W STATE HIGHWAY 18, Manila, AR 72442-8049
- **Phone:** (870) 561-3300 · **Fax:** (870) 561-3307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2016
- **Other identifiers:** Medicaid 156106001 (AR); Medicare PIN 5F339 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1720183031) · Data from the CMS NPPES public registry.