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Dr. Jackson Wagoner, MD

Pain Medicine (Anesthesiology) Physician in Casper, WY · enumerated 2019.

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

National Provider Identifier

1689137408

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Registry record

Entity type Individual (Type 1)
Name Dr. Jackson Wagoner
Credential MD
Sex Male
Practice address 1541 Diamond Dr, Casper, WY, 82601
Phone (307) 439-1097
Enumeration date Apr 9, 2019
Last updated in NPPES Apr 8, 2026

Taxonomy & licenses

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License ME169309 (FL) Secondary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 69349 (AZ) Secondary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 19414A (WY) Primary
207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License ME169309 (FL) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

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

What is the NPI number for Jackson Wagoner?
The National Provider Identifier (NPI) for Jackson Wagoner is 1689137408, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jackson Wagoner practice?
The practice location on file with NPPES is in Casper, WY. 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 2026-04-08.