Jared Paul Wagner, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD60717768 Issued in WA

Practice address

636 Valley Mall Pkwy Ste 5
Wenatchee, WA 98802-4898

Phone

(425) 362-9889

Fax

(509) 888-7428

NPI assigned

Jun 17, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

University of Michigan Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wenatchee Relief IncGroup PAC ID 1456698182, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016
• Lake Chelan Community Hospital Hospital, Chelan, WA, CCN 501334
• Columbia Basin Hospital Hospital, Ephrata, WA, CCN 501317

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wenatchee Relief, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Wenatchee, WA
  • NPI 1891279626
  Medicare reassignment Care Compare group NPD Authorized official
• Blossom Valley Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wenatchee, WA
  • NPI 1982327912
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Washington Health Services Association

  dba Confluence Health

  • General Acute Care Hospital
  • Wenatchee, WA
  • NPI 1306883228
  Care Compare affiliation
• Chelan County Public Hospital District No 2

  dba Lake Chelan Community Hospital

  • Critical Access Hospital
  • Chelan, WA
  • NPI 1578568853
  Care Compare affiliation
• Grant County Public Hospital District No. 3

  dba Columbia Basin Hospital

  • Critical Access Hospital
  • Ephrata, WA
  • NPI 1811979610
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1528228103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 VALLEY MALL PKWY STE 5",
            "city": "E WENATCHEE",
            "state": "WA",
            "postal_code": "988024898",
            "telephone_number": "509-888-3496",
            "fax_number": "509-888-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 VALLEY MALL PKWY STE 5",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988024898",
            "telephone_number": "425-362-9889",
            "fax_number": "509-888-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JARED",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD60717768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Vora, PT
• Ensi Voshtina, DO
• Kimberly Voss, SUDP
• Brian R. Voth, MD
• Laura Kay Wade, M.D.
• Lacey Michelle Wagner, RD
• William Wagner, M.D.
• Elizabeth Park Wahl, MD
• Wal-Mart Stores, Inc. (Vision Center 30-2187)
• Walter Scott Walden, LD

• Pain Medicine (Anesthesiology) Physician in Wenatchee, WA
• Providers in Wenatchee, WA by specialty
• Pain Medicine (Anesthesiology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.