SCOTT ERIK WAGNER (M.D.) – Emergency Medicine Physician, NPI 1356452064

SCOTT ERIK WAGNER (M.D.) is a healthcare provider. based in Vineland, New Jersey. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MA74030 (NJ). The NPI Number for SCOTT ERIK WAGNER (M.D.) is 1356452064

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT ERIK WAGNER (M.D.)
NPI
1356452064
Phone
Not provided
Address
1505 W SHERMAN AVE
Enumeration Date
31 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
8565821500
Graduation Year
1999 (27 years ago)
PAC ID
7012903891
Group Practice PAC ID
2769657659
Professional Enrollment ID
I20040426000683
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SCOTT ERIK WAGNER (M.D.)

  • Inspira Medical Center Vineland, 1505, West Sherman Avenue, Vineland, Cumberland County, New Jersey, 08360, United States

    VINELAND, NJ 083606912

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040426000683IEmergency MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769657659View full group profile
NameSpecialtyState
Family PracticeNJ
Emergency MedicineNJ
Preventive MedicinePA
Emergency MedicinePA
Physician AssistantNJ
-PA
Physician AssistantNJ
-NJ
Physician AssistantNJ
-NJ

Reviews

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Frequently asked questions

What is the standard ID for SCOTT ERIK WAGNER (M.D.) in the U.S.?
In the U.S., SCOTT ERIK WAGNER (M.D.) is identified by NPI 1356452064.
Is SCOTT ERIK WAGNER (M.D.)'s NPI status active today?
Active status means SCOTT ERIK WAGNER (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits SCOTT ERIK WAGNER (M.D.)?
NPPES ties SCOTT ERIK WAGNER (M.D.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SCOTT ERIK WAGNER (M.D.)?
SCOTT ERIK WAGNER (M.D.) is associated with Vineland, New Jersey in the same public data insurers reference.
Who maintains SCOTT ERIK WAGNER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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