Jake Wagner
NPI 1114667334 · Student in an Organized Health Care Education/Training Program · Louisville, KY
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Wagner is a Student in an Organized Health Care Education/Training Program provider in Louisville, KY (NPI 1114667334).
Provider details
- NPI number
- 1114667334
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-29
- Last updated
- 2022-03-29
- Certified
- 2022-03-29
Frequently asked questions
- What is Jake Wagner's NPI number?
- Jake Wagner's National Provider Identifier (NPI) is 1114667334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Wagner's specialty?
- Jake Wagner is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jake Wagner located?
- Jake Wagner's practice location on file with NPPES is 550 S Jackson St # A3k00, Louisville, KY 40202-1622.
- What is Jake Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jake Wagner is (502) 852-4277.
- Does Jake Wagner accept Medicare?
- Jake Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Wagner's NPI active?
- Yes — Jake Wagner's NPI (1114667334) is active in the NPPES registry as of the last update on 2022-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.