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

Devon Wagner, APRN

Individual provider Registered Nurse · NPI 1407618739

Devon Wagner, APRN is a Nurse Practitioner in Issaquah, Washington. Qualified in 2024, 2 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

5708 E Lake Sammanish Pkwy SE
Issaquah, WA 98029
Phone: (425) 688-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP61598671 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 60929310 (WA)

Record details

NPI number1407618739
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 23, 2024
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024
Mailing address5708 E. Lake Sammanish Pkwy Se, Issaquah, WA 98029

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Issaquah