Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Douglas Lee Wagoner, MD

Family Medicine Physician in Glencoe, MN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225027162

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Registry record

Entity type Individual (Type 1)

Name Douglas Lee Wagoner

Credential MD

Sex Male

Practice address 1805 Hennepin Ave N, Glencoe Regional Health Services, Glencoe, MN, 55336

Phone (320) 864-3121

Fax (320) 864-7887

Enumeration date Oct 13, 2005

Last updated in NPPES Nov 25, 2020

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 27782 (MN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
024767000	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Douglas Wagoner?

The National Provider Identifier (NPI) for Douglas Wagoner is 1225027162, a Type 1 (individual) record in the CMS NPPES registry.

Where does Douglas Wagoner practice?

The practice location on file with NPPES is in Glencoe, MN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-25.