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

John Andrew Wagoner

Individual provider Psychiatry Physician · NPI 1528797743

John Andrew Wagoner is a Psychiatry in Des Moines, Iowa. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2022, 4 years ago. Practices with Broadlawns Medical Center, a 306-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
4
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IA
In the registry since
2022

Practice location Address checks out

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone: (151) 528-2854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence R-12603 (IA)

Record details

NPI number1528797743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESJune 6, 2022
Certification dateJune 1, 2022
Mailing address1801 Hickman Rd, Des Moines, IA 50314-1548

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2022 (4 years in practice)
Group practice Broadlawns Medical Center — 306 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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