Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Wagoner

Individual provider Family Nurse Practitioner · NPI 1952070799

Daniel Wagoner is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Eskenazi Medical Group Inc, a 138-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

8902 N Meridian St Ste 101
Indianapolis, IN 46260-5306
Phone: (317) 848-8048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Eskenazi Ave, Indianapolis, IN 46202-5187 — (317) 880-7666

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 28226050A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71011659A (IN)

Record details

NPI number1952070799
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 7, 2021
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Eskenazi Medical Group Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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