Jason Philip Wagner, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.60762828 Issued in WA

Practice address

4120 Meridian St Ste 220
Bellingham, WA 98226-5575

Phone

(360) 922-3030

Fax

(360) 306-8374

NPI assigned

Mar 20, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1568310977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 W ILLINOIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251622",
            "telephone_number": "360-922-3030",
            "fax_number": "360-306-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 MERIDIAN ST STE 220",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265575",
            "telephone_number": "360-922-3030",
            "fax_number": "360-306-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JASON",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN.60762828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kristoffer Waade
• Eirin C Waade, ARNP
• Morgan Waage
• Waatu, Inc. (Shuksan Healthcare Center)
• Rebecca Dawn Waggoner I, M.S.C.P. CANDIDATE
• Lee James Wagner Jr., N.D.
• Mary Ann Wagner
• Nicole Marie Wagner, SUDPT
• Rachel M Wagner, MD
• Stephen Alan Wagoner, MD

• Registered Nurse in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.