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

Jacob Bradley Wagner, DNAP

Individual provider Critical Care Medicine Registered Nurse · NPI 1376251009

Jacob Bradley Wagner, DNAP is a Certified Registered Nurse Anesthetist (CRNA) in Madison, Tennessee. Qualified in 2025, 1 year ago. Practices with Commonwealth Health Corporation, Inc, a 263-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Tennessee.

Years since qualifying
1
Licensed in
KY, TN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 732-7662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 Park St, Bowling Green, KY 42101-1795 — (270) 745-1000

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 267408 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4051451 (KY)

Record details

NPI number1376251009
Entity typeIndividual (Type 1)
GenderMale
Credentials DNAP
Sole proprietorNo
NPI enumeratedNovember 11, 2022
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Commonwealth Health Corporation, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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