Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jacob Wagner, MD

Individual provider Internal Medicine Physician · NPI 1700266079

Jacob Wagner, MD practises Internal Medicine in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2015, 11 years ago. Practices with Fairview Health Services, a 678-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
11
Trained at
University of Minnesota Medical School
Licensed in
IN, MN
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 — (317) 948-2700
  • D638 Mayo Building, Minneapolis, MN 55455 — (612) 624-3142

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 67426 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11018250A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 67426 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 01082119A (IN)

Record details

NPI number1700266079
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 2, 2015
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients68
Services billed 156 a service is one billed item, such as a visit, a test or a procedure
Average patient age62

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Fairview Health Services

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 678 clinicians in the practice; 12 are shown here.

Other providers in Minneapolis