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DR. DRUE O. WAGNER M.D.
NPI 1891918629
Family Medicine in Moscow, ID

Active since April 10, 2007
619 S WASHINGTON ST, SUITE 203, MOSCOW, ID 83843(208) 892-1346(208) 892-8306 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Drue O. Wagner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DRUE O. WAGNER M.D. (NPI 1891918629) is an individual family medicine provider in Moscow, Idaho, licensed in Washington (00028927) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1891918629
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DRUE O. WAGNERCredential: M.D.
Location Address619 S WASHINGTON ST, SUITE 203Moscow, ID 83843-3090
Mailing Address825 Se Bishop Blvd, Ste 901Pullman, WA 99163-5538 · (208) 892-1346 · Fax (208) 892-8306
Phone(208) 892-1346
Fax(208) 892-8306
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateFebruary 4, 2019
✔ NPI 1891918629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · 00028927✔ Licensed in ID · M-11013
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
619 S WASHINGTON ST, Moscow, ID 83843
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Other Identifiers 1

Medicaid1008218020002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL HEALTH PHYSICIAN GROUP LLC
Clinic/Center (Multi-Specialty)
619 S WASHINGTON ST, SUITE 203
MOSCOW, ID 83843
Latah County (208) 892-1346
DR. JAMES EDWARD MCKENZIE DC
Chiropractor
619 S WASHINGTON ST, STE #101
MOSCOW, ID 83843
Latah County (208) 883-4300
LORI REYNOLDS
Massage Therapist
619 S WASHINGTON ST
MOSCOW, ID 83843
Latah County (208) 883-4300
PALOUSE FOOT & ANKLE CLINIC
Durable Medical Equipment & Medical Supplies
619 S WASHINGTON ST, 103
MOSCOW, ID 83843
Latah County (208) 882-8939
DR. SUSAN L. SIMONDS PH.D.
Psychologist
619 S WASHINGTON ST, SUITE 301
MOSCOW, ID 83843
Latah County (208) 892-0452
COMMUNITY HEALTHCARE OF THE PALOUSE
Family Medicine
619 S WASHINGTON ST, STE 203
MOSCOW, ID 83843
Latah County (208) 892-1346
DANIELLE MARIE WATSON LMP
Specialist
619 S WASHINGTON ST, STE 202
MOSCOW, ID 83843
Latah County (208) 882-8534
DR. RICHARD ALLEN JACOBS M.D.
Specialist
619 S WASHINGTON ST, STE 202
MOSCOW, ID 83843
Latah County (208) 882-1522

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 Drue Wagner's NPI number?

The NPI number for Drue Wagner is 1891918629. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Drue Wagner located?

Drue Wagner practices at 619 S Washington St Suite 203, Moscow, ID 83843. The listed phone number is (208) 892-1346.

What is Drue Wagner's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Drue Wagner accept?

Health plans from PacificSource Health Plans list Drue 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 Drue Wagner was last updated on February 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.