JENNIFER A WAGNER MD
NPI 1992022230
Pediatrics in Marysville, WA

Q: What is Jennifer Wagner's NPI number?

The NPI number for Jennifer Wagner is 1992022230. It was assigned to this individual provider in the NPPES registry on April 27, 2010.

Q: What is Jennifer Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wagner was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 27, 2010PECOS Enrolled

4420 76TH ST NE, MARYSVILLE, WA 98270(360) 651-7490 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2026, Jun 27, 2025, Apr 22, 2024 and 3 more (6 updates tracked since 2017).

On this page

About Jennifer A Wagner Md NPPES

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

JENNIFER A WAGNER MD (NPI 1992022230) is an individual pediatrics provider in Marysville, Washington, licensed in Washington (MD61398282) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992022230

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJENNIFER A WAGNERCredential: MD

Location Address4420 76TH ST NEMarysville, WA 98270-3726

Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414

Phone(360) 651-7490

Sole ProprietorNo

Enumeration DateApril 27, 2010

Last NPPES UpdateMay 14, 20266 updates tracked since enumeration

NPPES CertifiedMay 14, 2026

✔ NPI 1992022230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · MD61398282

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4420 76TH ST NE, Marysville, WA 98270

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer A Wagner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Care Washington PLLC

6.1 mi

Ambulatory Surgical

4011 172ND ST NE
Arlington, WA 98223

Reassigned Medicare billing, Washington enrollment
1,285 clinicians in this Medicare group

NPI 1366154304 (360) 454-1900

The Polyclinic PLLC

32 mi

Audiologist

1145 BROADWAY
Seattle, WA 98122

Reassigned Medicare billing, Washington enrollment
911 clinicians in this Medicare group

NPI 1174594634 (206) 329-1760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98270 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

OPTUM CARE WASHINGTON PLLC

Pharmacy