JACOB TIMOTHY WAGNER DPM
NPI 1790304442
Podiatrist in La Crosse, WI
About Jacob Timothy Wagner Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB TIMOTHY WAGNER DPM (NPI 1790304442) is an individual podiatrist in La Crosse, Wisconsin, licensed in Wisconsin (1303) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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 Timothy Wagner Dpm 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
3Medicare enrollment records show Jacob Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 928 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 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 5
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.
Ascension All Saints Hospital
Acute Care Hospitals · Racine, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 1790304442. It was assigned to this individual provider in the NPPES registry on April 13, 2020.
Where is Jacob Wagner located?
Jacob Wagner practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Jacob Wagner's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
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 3 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI). 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 Anthem Blue Cross and Blue Shield and Network Health 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 Ascension All Saints Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Wagner was last updated on January 13, 2023. 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 Timothy Wagner, DPM · NPI 1790304442
Podiatrist provider in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since April 13, 2020.
## Identity
- **NPI:** 1790304442 (Entity type: Individual)
- **Enumerated:** April 13, 2020
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **State license:** 1303 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic Ltd (NPI 1851343115, La Crosse, WI); Gundersen Lutheran Medical Center, Inc (NPI 1619210895, La Crosse, WI); Ascension Medical Group-Southeast Wisconsin Inc (NPI 1609881077, Glendale, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790304442) · Data from the CMS NPPES public registry.