Derek Wagner, MD
NPI 1659012169 · Student in an Organized Health Care Education/Training Program · Nashville, TN
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Wagner, MD is a Student in an Organized Health Care Education/Training Program provider in Nashville, TN (NPI 1659012169).
Provider details
- NPI number
- 1659012169
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4301512090 (MI)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
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
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 6071 W Outer DrDetroit, MI 48235-2624Phone: (313) 966-3300
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Frequently asked questions
- What is Derek Wagner's NPI number?
- Derek Wagner's National Provider Identifier (NPI) is 1659012169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Wagner's specialty?
- Derek 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 Derek Wagner located?
- Derek Wagner's practice location on file with NPPES is 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501.
- What is Derek Wagner's phone number?
- The practice phone number listed in the NPPES registry for Derek Wagner is (615) 327-6385.
- Does Derek Wagner accept Medicare?
- Derek Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Wagner's NPI active?
- Yes — Derek Wagner's NPI (1659012169) is active in the NPPES registry as of the last update on 2026-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.