Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jerad Scott Wagner, PA-C

Physician Assistant in Ardmore, OK · enumerated 2013.

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

National Provider Identifier

1932448347

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Registry record

Entity type Individual (Type 1)

Name Jerad Scott Wagner

Credential PA-C

Sex Male

Practice address 921 14th Ave Nw, Ardmore, OK, 73401

Phone (580) 223-5311

Fax (580) 223-8227

Enumeration date Feb 5, 2013

Last updated in NPPES Jan 27, 2016

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2197 (OK) Primary

Other identifiers

Identifier	Type	State	Issuer
2197	Other	OK	PHYSICIAN ASSISTANT LICENSE

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

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jerad Wagner?

Jerad Wagner is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-27.