Individual Healthcare Provider
Jennifer M Wagner
Provider's NPPES record last updated: August 11, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003736984
- Primary Specialty
- Nurse Practitioner — Acute Care
- Practice Location
- Centerville, Ohio
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:22 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Acute Care
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2100X
Provider-Reported License Information
- Nurse Practitioner (Ohio)
- APRN.CNP.0042761
Practice Locations
Practice Location
2400 Miami Valley Dr
Centerville, Ohio 45459-4774
Phone: (937) 208-8394
Additional Practice Location
3130 N County Road 25a
Troy, Ohio 45373-1337
Phone: (937) 440-4466
Fax: (937) 440-4470
Additional Practice Location
1 Wyoming St Ste Se3100b
Dayton, Ohio 45409-2722
Phone: (937) 208-8394
Fax: (937) 641-2780
Additional Practice Location
1 Medical Center Dr
Middletown, Ohio 45005-2584
Phone: (513) 974-2111
Fax: (513) 974-5156
Additional Practice Location
9000 N Main St
Englewood, Ohio 45415-1180
Phone: (937) 208-8394
Fax: (937) 641-2780
Record Information
- Enumeration Date
- July 20, 2026
- Provider's NPPES Record Last Updated
- August 11, 2026
- Certification Date
- August 11, 2026
- NPISignal NPPES Dataset
- August 2026
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