Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Deborah Banazak Wagenaar, D.O.

Geriatric Psychiatry Physician in East Lansing, MI · enumerated 2005 · practices at Michigan State University.

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

National Provider Identifier

1255315628

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Registry record

Entity type Individual (Type 1)

Name Deborah Banazak Wagenaar

Credential D.O.

Sex Female

Practice address 909 Wilson Rd Rm B119, East Lansing, MI, 48824

Phone (517) 353-3070

Fax (517) 884-1817

Enumeration date Nov 30, 2005

Last updated in NPPES Jun 29, 2023

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 5101008530 (MI) Secondary

2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians · License 5101008530 (MI) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
1255315628	Medicaid	MI	-
3179331	Medicaid	MI	-

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.

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Frequently asked questions

How do I verify Deborah Wagenaar's NPI record?

Cross-check NPI 1255315628 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1255315628 active?

Yes, as of the latest NPPES snapshot, NPI 1255315628 is active (record last updated 2023-06-29).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-29.