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

Jerad Scott Wagner, PA-C

Individual provider Physician Assistant · NPI 1932448347

Jerad Scott Wagner, PA-C is a Physician Assistant in Ardmore, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2012, 14 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
14
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

921 14th Ave NW
Ardmore, OK 73401-1837
Phone: (580) 223-5311
Fax: (580) 223-8227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2197 (OK)

Record details

NPI number1932448347
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2013
Last updated in NPPESJanuary 27, 2016
Mailing address921 14th Ave Nw, Ardmore, OK 73401-1837

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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