DYLAN PAUL WAGNER PA
NPI 1992058556
Physician Assistant - Medical in Laurel, MS

Active since October 19, 2012PECOS EnrolledAccepts Medicare Assignment
2313 HIGHWAY 15 N, LAUREL, MS 39440(601) 649-2775(601) 649-2686 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2020, Aug 23, 2016 (2 updates tracked since 2016).

About Dylan Paul Wagner Pa NPPES

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

DYLAN PAUL WAGNER PA (NPI 1992058556) is an individual medical provider in Laurel, Mississippi, licensed in Mississippi (00172) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1992058556
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDYLAN PAUL WAGNERCredential: PA
Location Address2313 HIGHWAY 15 NLaurel, MS 39440-1805
Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 649-2775 · Fax (601) 579-5240
Fax(601) 649-2686
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 19, 2012
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
NPI 1992058556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MS · 00172
2313 HIGHWAY 15 N, Laurel, MS 39440

Other Identifiers 4

Medicaid05153323MS
Other5874982MS · Cigna
Other3528936MS · United Healthcare
Other9469937MS · Aetna

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dylan Paul Wagner Pa 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.

PECOS PAC ID5698927820
PECOS Enrollment IDI20121214000088
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.

Areas of Expertise CMS Part B claims 19

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,836 services558 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
2,444 services445 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
1,891 services791 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,784 services990 patients
Injection, lincomycin hcl, up to 300 mg J2010
Lincomycin HCL injection is an antibiotic treatment, administered to fight bacterial infections. Up to 300 mg may be given, depending on the severity of your infection. This medication helps in stopping the growth of bacteria, aiding in recovery.
524 services215 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
494 services198 patients

Other Providers at the Same Location NPPES 5

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

Family Medicine
2313 HIGHWAY 15 N
LAUREL, MS 39440
Family Medicine
2313 HIGHWAY 15 N
LAUREL, MS 39440
Family Medicine
2313 HIGHWAY 15 N
LAUREL, MS 39440
Nurse Practitioner
2313 HIGHWAY 15 N
LAUREL, MS 39440
Family Medicine
2313 HIGHWAY 15 N
LAUREL, MS 39440

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 Dylan Wagner's NPI number?

The NPI number for Dylan Wagner is 1992058556. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Dylan Wagner located?

Dylan Wagner practices at 2313 Highway 15 N, Laurel, MS 39440. The listed phone number is (601) 649-2775.

What is Dylan Wagner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dylan Wagner enrolled in Medicare?

Yes. Dylan 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.

What insurance does Dylan Wagner accept?

Health plans from Molina Healthcare list Dylan 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 Dylan Wagner was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.