Active NPI
James S Wagner, MD
- Surgery Physician
- Bemidji, MN
National Provider Identifier
1942234851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30763
- Practice address
- 1300 Anne St NW
Bemidji, MN 56601-5103 - Phone
- (218) 333-5000
- Fax
- (218) 333-5360
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 30763 | MN | Primary |
| Surgery Physician | 208600000X | 5910 | ND |
Addresses
Primary practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (218) 333-5000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700718 | Other | ND | MEDICA # |
| 198200100 | Medicaid | MN | |
| DA9011015601 | Other | ND | PREFERRED ONE # |
| 142077 | Other | ND | UCARE # |
| 676663 | Other | ND | AMERICA'S PPO/ARAZ # |
| HP25793 | Other | ND | HEALTHPARTNERS # |
| 1700497 | Other | ND | MEDICA # |
| ND200073 | Other | ND | LHS # |
| 28133WA | Other | ND | MNBS # |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
| Direct Messaging Address | jwagner1841958@direct.sanfordhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Mayo Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- McKenzie County Healthcare Systems Inc
Practice addresses (Care Compare)
222 Tongass Dr
Sitka, AK 99835-9416
Phone (907) 966-2411
709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.93 of 100
- Quality
- 94.88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 15 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
3314 Solutions Ctr
Chicago, IL 60677
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010
525 N Main St
Watford City, ND 58854
Phone (701) 842-3771
709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331
1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHJHBA
- jwagner913893@fairview.direct-ci.com
- jwagner1841958@direct.sanfordhealth.org
Organizations & group practices 22
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.
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
- Critical Access Hospital
- Park Rapids, MN
- NPI 1023086055
-
- Urgent Care Clinic/Center
- Williston, ND
- NPI 1396516506
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- General Acute Care Hospital
- Hibbing, MN
- NPI 1356321699
-
- Durable Medical Equipment & Medical Supplies
- International Falls, MN
- NPI 1710954821
-
- Clinic/Center
- Park Rapids, MN
- NPI 1013460864
-
- Community/Behavioral Health Agency
- Petersburg, AK
- NPI 1174108880
-
- Clinic/Center
- Juneau, AK
- NPI 1427941343
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
Hospital & facility affiliations 36
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Watford City, ND
- NPI 1518988948
-
- Clinic/Center
- Tenakee Springs, AK
- NPI 1477721280
Hospital
-
- Nursing Facility/Intermediate Care Facility
- Juneau, AK
- NPI 1932312485
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1942234851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "218-333-5000",
"fax_number": "218-333-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015103",
"telephone_number": "218-333-5000",
"fax_number": "218-333-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "JAMES",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "30763",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ND",
"license": "5910",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "1700718",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198200100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE #",
"identifier": "DA9011015601",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE #",
"identifier": "142077",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/ARAZ #",
"identifier": "676663",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS #",
"identifier": "HP25793",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA #",
"identifier": "1700497",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LHS #",
"identifier": "ND200073",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNBS #",
"identifier": "28133WA",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwagner1841958@direct.sanfordhealth.org",
"affiliation": "N",
"address_1": "1300 Anne St NW",
"city": "Bemidji",
"state": "MN",
"country_code": "US",
"postal_code": "566015103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.